Myositis and rhabdomyolysis in scrub typhus infection: A case report

IF 1.9 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Asian Pacific journal of tropical medicine Pub Date : 2023-04-01 DOI:10.4103/1995-7645.374357

Tukaram Bolla, Sushmita Bhattarai, H. Singh, V. Suri, A. Bhalla, D. Chatterjee

引用次数: 0

Abstract

Rationale: Fever with myositis and rhabdomyolysis is a medical emergency requiring prompt diagnosis and management. Scrub typhus associated myositis with rhabdomyolysis is rare. Patient concerns: A 36-year-old female presented with intermittent fever up to 38.6 °C, jaundice and progressive weakness of all four limbs. Diagnosis: Scrub typhus associated myositis and rhabdomyolysis. Intervention: Doxycycline 100 mg twice daily and injection of ceftriaxone 1 gm twice daily along with continuous intravenous fluids. Outcome: Fever resolved with normalization of liver function and recovery of muscle power. Lessons: Presence of myositis and rhabdomyolysis is uncommon in scrub typhus; high clinical suspicion should be kept in patients with atypical manifestations of scrub typhus.

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丛林斑疹伤寒感染并发肌炎和横纹肌溶解症1例

理由:发烧合并肌炎和横纹肌溶解是一种急症，需要及时诊断和处理。恙虫病伴横纹肌溶解性肌炎是罕见的。患者关注:36岁女性，间歇性发热高达38.6°C，黄疸和进行性四肢无力。诊断:恙虫病相关肌炎和横纹肌溶解。干预措施:强力霉素100毫克，每日2次，注射头孢曲松1克，每日2次，同时持续静脉输液。结果:随着肝功能的恢复和肌力的恢复，发热消退。经验教训:肌炎和横纹肌溶解的存在是罕见的恙虫病;对有恙虫病不典型表现的患者应保持高度临床怀疑。

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来源期刊

Asian Pacific journal of tropical medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-TROPICAL MEDICINE

CiteScore

4.00

自引率

9.70%

发文量

1936

审稿时长

3-8 weeks

期刊介绍： Asian Pacific Journal of Tropical Medicine (ISSN 1995-7645 CODEN: APJTB6), a publication of Editorial office of Hainan Medical University,is a peer-reviewed print + online Monthly journal. The journal''s full text is available online at http://www.apjtm.org/. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. APJTM aims to provide an academic communicating platform for international physicians, medical scientists, allied health scientists and public health workers, especially those of the Asia-Pacific region and worldwide on tropical medicine, infectious diseases and public health, and to meet the growing challenges of understanding, preventing and controlling the dramatic global emergence and re-emergence of infectious diseases in the Asia-Pacific. The journal is proud to have an international and diverse editorial board that will assist and facilitate the publication of articles that reflect a global view on tropical medicine, infectious diseases and public health, as well as emphasizing our focus on supporting the needs of public health practitioners. The APJTM will allow us to seek opportunities to work with others who share our aim, and to enhance our work through partnership, and to uphold the standards of our profession and contribute to its advancement.