| A case of gastric granulomatous inflammation in scrub typhus |
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Soon Hak Lee, Seong Woo Jeon, Eung Kap Lee, Rack Cheon Bae, Sun Ik Jang, Jung Sik Kim, Han Ik Bae |
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| 쯔쯔가무시병에 병발된 위 체부의 육아종성 염증 1예 |
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이순학, 전성우, 이응갑, 배락천, 장선익, 김정식, 배한익 |
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| Abstract |
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Scrub typhus, an acute febrile illness caused by Orientia tsutsugamushi-induced vasculitis, is common in Korea and Asia. Endoscopic mucosal lesions have rarely been reported with Scrub typhus. We experienced gastric mucosal erosion by Scrub typhus in a 51-year-old male patient. The patient was admitted to another hospital with a fever and myalgia over the past 3 months, and his disease was diagnosed as Scrub typhus. During admission, the patient presented with epigastric discomfort. An esophagogastroduodenoscopy (EGD) showed gastric mucosal erosion. A chest X-ray, abdominal computerized tomographic scan, and a colonoscopy were unremarkable. After the patient improved with doxycycline administration, the patient visited our hospital complaining of epigastric discomfort. An EGD showed erythematous mucosal erosion at the midbody of the stomach, and a biopsy revealed a non-caseating granuloma. The M. tuberculosis polymerase chain reaction and acid fast bacilli staining of the biopsy specimen were negative. A follow-up EGD 8 months later showed no mucosal lesion at the stomach midbody. |
| Key Words:
Scrub typhus; Granuloma; Erosion gastric |
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