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Case report of scrub typhus complicated by hypokalemia and multiple organ dysfunction syndrome
Chen, Li; Deng, Yi; Huang, Peiying; Lei, Sisi; Liu, Shuling; Lin, Weitao; Li, Zhishang; Zeng, Jing; Huang, Miaochun; Huang, Qiuping; Wu, Qihua; Zhang, Haobo; Chen, Bojun.
Afiliação
  • Chen, Li; Clinical Research Team for Prevention and Treatment of Cardiac Emergencies with Traditional Chinese Medicine. Member, Guangdong Provincial Key Laboratory of Research on Emergency in Traditional Chinese Medicine. Emergency Department of Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou City, Guangdong Province, China. Guangzhou City. CN
  • Deng, Yi; Clinical Research Team for Prevention and Treatment of Cardiac Emergencies with Traditional Chinese Medicine. Member, Guangdong Provincial Key Laboratory of Research on Emergency in Traditional Chinese Medicine. The Second Clinical Medical School of Guangzhou University of Chinese Medicine, Guangzhou City, Guangdong Province, China. Guangzhou City. CN
  • Huang, Peiying; Clinical Research Team for Prevention and Treatment of Cardiac Emergencies with Traditional Chinese Medicine. Member, Guangdong Provincial Key Laboratory of Research on Emergency in Traditional Chinese Medicine. The Second Clinical Medical School of Guangzhou University of Chinese Medicine, Guangzhou City, Guangdong Province, China. Guangzhou City. CN
  • Lei, Sisi; Clinical Research Team for Prevention and Treatment of Cardiac Emergencies with Traditional Chinese Medicine. Member, Guangdong Provincial Key Laboratory of Research on Emergency in Traditional Chinese Medicine. The Second Clinical Medical School of Guangzhou University of Chinese Medicine, Guangzhou City, Guangdong Province, China. Guangzhou City. CN
  • Liu, Shuling; Clinical Research Team for Prevention and Treatment of Cardiac Emergencies with Traditional Chinese Medicine. Member, Guangdong Provincial Key Laboratory of Research on Emergency in Traditional Chinese Medicine. Emergency Department of Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou City, Guangdong Province, China. Guangzhou City. CN
  • Lin, Weitao; Clinical Research Team for Prevention and Treatment of Cardiac Emergencies with Traditional Chinese Medicine. Member, Guangdong Provincial Key Laboratory of Research on Emergency in Traditional Chinese Medicine. Emergency Department of Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou City, Guangdong Province, China. Guangzhou City. CN
  • Li, Zhishang; Clinical Research Team for Prevention and Treatment of Cardiac Emergencies with Traditional Chinese Medicine. Member, Guangdong Provincial Key Laboratory of Research on Emergency in Traditional Chinese Medicine. Emergency Department of Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou City, Guangdong Province, China. Guangzhou City. CN
  • Zeng, Jing; Clinical Research Team for Prevention and Treatment of Cardiac Emergencies with Traditional Chinese Medicine. Member, Guangdong Provincial Key Laboratory of Research on Emergency in Traditional Chinese Medicine. Emergency Department of Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou City, Guangdong Province, China. Guangzhou City. CN
  • Huang, Miaochun; Clinical Research Team for Prevention and Treatment of Cardiac Emergencies with Traditional Chinese Medicine. Member, Guangdong Provincial Key Laboratory of Research on Emergency in Traditional Chinese Medicine. Emergency Department of Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou City, Guangdong Province, China. Guangzhou City. CN
  • Huang, Qiuping; Clinical Research Team for Prevention and Treatment of Cardiac Emergencies with Traditional Chinese Medicine. Member, Guangdong Provincial Key Laboratory of Research on Emergency in Traditional Chinese Medicine. Emergency Department of Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou City, Guangdong Province, China. Guangzhou City. CN
  • Wu, Qihua; Clinical Research Team for Prevention and Treatment of Cardiac Emergencies with Traditional Chinese Medicine. Member, Guangdong Provincial Key Laboratory of Research on Emergency in Traditional Chinese Medicine. Emergency Department of Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou City, Guangdong Province, China. Guangzhou City. CN
  • Zhang, Haobo; Clinical Research Team for Prevention and Treatment of Cardiac Emergencies with Traditional Chinese Medicine. Member, Guangdong Provincial Key Laboratory of Research on Emergency in Traditional Chinese Medicine. Emergency Department of Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou City, Guangdong Province, China. Guangzhou City. CN
  • Chen, Bojun; Clinical Research Team for Prevention and Treatment of Cardiac Emergencies with Traditional Chinese Medicine. Team leader, Guangdong Provincial Key Laboratory of Research on Emergency in Traditional Chinese Medicine. Emergency Department of Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou City, Guangdong Province, China. Guangzhou City. CN
São Paulo med. j ; São Paulo med. j;142(4): e20230142, 2024. graf
Article em En | LILACS-Express | LILACS | ID: biblio-1551077
Biblioteca responsável: BR1.1
ABSTRACT
ABSTRACT CONTEXT Scrub typhus, caused by Orientia tsutsugamushi, has a wide range of clinical manifestations, including meningoencephalitis, acute renal failure, pneumonitis, myocarditis, and septic shock. However, there are no documented cases of scrub typhus with hypokalemia. In this report, we present a case of scrub typhus with hypokalemia and multiple organ failure syndrome, highlighting the importance of electrolyte imbalance in patients with scrub typhus. CASE REPORT A 59-year-old woman presented to the emergency department with abdominal pain that had been present for 1 day. On admission, the physical examination and laboratory test results indicated that the patient had renal, liver, and circulatory failure, and hypokalemia. She developed meningitis and disseminated intravascular coagulation during hospitalization. She recovered with appropriate management, and was discharged on day 17.

CONCLUSION:

This report highlights the potential for atypical presentations of scrub typhus, including a previously undocumented association with hypokalemia. Although the contribution of hypokalemia to the patient's clinical course remains uncertain, this case underscores the importance of considering electrolyte imbalance in the management of patients with scrub typhus. Further research is warranted to better understand the relationship between scrub typhus and electrolyte imbalance.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Idioma: En Revista: São Paulo med. j Assunto da revista: Cirurgia Geral / Ciˆncia / Ginecologia / MEDICINA / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Ano de publicação: 2024 Tipo de documento: Article País de afiliação: China País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Idioma: En Revista: São Paulo med. j Assunto da revista: Cirurgia Geral / Ciˆncia / Ginecologia / MEDICINA / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Ano de publicação: 2024 Tipo de documento: Article País de afiliação: China País de publicação: Brasil