妊娠期并发恙虫病的急性呼吸窘迫综合征

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
Amit Kumar, Shweta Tanwar, Sudhish Gupta, Rajesh Chetiwal
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引用次数: 0

摘要

恙虫病是由恙虫病东方体(前身为立克次体)引起的,并通过Trombiculidae科的节肢动物媒介传播给人类。最近的报告表明,立克次体感染在印度次大陆死灰复燃。由于丛林斑疹伤寒的临床特征是非特异性的,并且与其他热带感染的临床特征非常相似,因此其诊断经常被延迟或错过。它可能引起严重并发症,如心肌炎、脑膜脑炎、急性肾功能衰竭、急性肝功能衰竭、肺炎、急性呼吸窘迫综合征(ARDS)、弥散性血管内凝血和多器官功能障碍综合征。早期诊断很重要,因为对治疗的反应很好,有助于预防并发症。在此,我们报告了一例妊娠妇女并发ARDS的恙虫病;然而,及时的诊断和治疗挽救了两条宝贵的生命。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Acute respiratory distress syndrome complicating scrub typhus in pregnancy
Scrub typhus is caused by Orientia tsutsugamushi (formerly Rickettsia) and is transmitted to humans by an arthropod vector of the Trombiculidae family. Recent reports suggest that there has been resurgence of rickettsial infections in the Indian subcontinent. As the clinical features of scrub typhus are nonspecific and closely mimic that of other tropical infections, its diagnosis is often delayed or missed. It may cause serious complications such as myocarditis, meningoencephalitis, acute renal failure, acute liver failure, pneumonia, acute respiratory distress syndrome (ARDS), disseminated intravascular coagulation, and multiorgan dysfunction syndrome. Early diagnosis is important because the response to treatment is excellent and may help prevent complications. Here, we report a case of scrub typhus in a pregnant woman complicated by ARDS; however, timely diagnosis and institution of therapy helped save two precious lives.
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来源期刊
Indian Journal of Medical Specialities
Indian Journal of Medical Specialities MEDICINE, GENERAL & INTERNAL-
自引率
16.70%
发文量
51
期刊介绍: The Indian Journal of Medical Specialities is an all-encompassing peer-reviewed quarterly journal. The journal publishes scholarly articles, reviews, case reports and original research papers from medical specialities specially pertaining to clinical patterns and epidemiological profile of diseases. An important highlight is the emphasis on undergraduate and postgraduate medical education including various aspects of scientific paper-writing. The journal gives priority to research originating from the developing world, including from the tropical regions of the world. The journal also publishes special issues on health topics of current interest. The Indian Journal of Medical Specialities is one of the very few quality multispeciality scientific medical journals.
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