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CASE REPORT
Year : 2014  |  Volume : 6  |  Issue : 1  |  Page : 31-34

Acute pancreatitis due to scrub typhus


1 Department of General Medicine, Medicine Unit IV, Christian Medical College, Vellore, Tamil Nadu, India
2 Department of Medicine Unit III, Christian Medical College, Vellore, Tamil Nadu, India
3 Department of Medicine Unit I and Infectious Diseases, Christian Medical College, Vellore, Tamil Nadu, India

Correspondence Address:
Atif Shaikh Iqbal Ahmed
Department of General Medicine, Medicine Unit IV, Christian Medical College, Vellore, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-777X.127949

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Scrub typhus is endemic in large parts of India and can cause multi-organ failure and death. Acute pancreatitis as a complication is very rare and is potentially fatal. This case series describes seven adult patients who presented with an acute febrile illness and were diagnosed to have scrub typhus with acute pancreatitis. The mean age of the seven patients with acute pancreatitis was 49.4 years, and mean duration of fever prior to presentation was 7.7 days. All seven patients had abdominal pain, and three had a pathognomonic eschar. The mean serum lipase level was 1,509 U/L (normal value: <190 U/L) and the mean serum amylase level was 434 U/L (normal value: <200 U/L). Six patients had evidence of multi-organ dysfunction. Hematological and respiratory system dysfunction was seen in five patients, hepatic and renal dysfunction in four, and central nervous system dysfunction in three patients. Three patients who had ≥4 organs involved, died (mortality rate: 42.8%). Our case series shows that pancreatitis in scrub typhus is an extremely rare complication and when present, is associated with increased mortality (42.8%). Physicians may be familiar with the various complications of scrub typhus but less so with acute pancreatitis and hence may be underdiagnosed.


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2008 Journal of Global Infectious Diseases | Published by Wolters Kluwer - Medknow
Online since 10th December, 2008