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©2007 Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jul 7, 2007; 13(25): 3523-3525
Published online Jul 7, 2007. doi: 10.3748/wjg.v13.i25.3523
Published online Jul 7, 2007. doi: 10.3748/wjg.v13.i25.3523
Pancreatic abscess following scrub typhus associated with multiorgan failure
Sun Young Yi, Jung Hyun Tae, Department of Internal Medicine, School of Medicine, Ewha Womans University, Seoul, South Korea
Author contributions: All authors contributed equally to the work.
Correspondence to: Sun Young Yi, MD, PhD, Department of Internal Medicine, School of Medicine, Ewha Womans University, Yangcheongu Mokdong 911-1, Seoul 158-710,South Korea.syy@ewha.ac.kr
Telephone: +82-2-26505575 Fax: +82-2-26552076
Received: March 17, 2007
Revised: March 18, 2007
Accepted: April 11, 2007
Published online: July 7, 2007
Revised: March 18, 2007
Accepted: April 11, 2007
Published online: July 7, 2007
Abstract
Clinical severity of scrub typhus ranges from mild to fatal. Acute pancreatitis with abscess formation is a rare complication among patients with scrub typhus. This paper reports a case of scrub typhus in a 75 years old man with acute pancreatitis with abscess formation and multiorgan failure. Abdominal computed tomography showed multiple infected pancreatic pseudocysts with peri-pancreatic infiltration. Multiorgan failure was successfully treated with doxycycline, ceftriaxone, and supportive management. The pancreatic abscess was successfully drained percutaneously and the sizes of pseudocysts decreased remarkably.
Keywords: Scrub typhus; Pancreatitis; Pancreatic abscess; Multiorgan failure