Abstract
Typhus pneumonitis – A rare and life-threatening complication of scrub typhus
Highlights
Scrub typhus is a disease caused by a proteobacterium named Orientia tsutsugamushi (OT)
Majority of cases occur in rural areas of south and southeast Asia including India and Indonesia, far eastern countries such as China and Japan and northern Australia
Scrub typhus is transmitted through the bite of infected larval mites called chiggers
Summary
Scrub typhus is a disease caused by a proteobacterium named Orientia tsutsugamushi (OT). Case presentation A 31-year-old lady from northern Sri Lanka presented to Teaching Hospital, Jaffna with high grade fever accompanied by headache and generalised body ache of 03 days duration. She had intractable nausea and vomiting since the onset of fever along with oliguria and loose stools. Arterial blood gas (ABG) analysis showed evidence of hypoxaemic (type 1) respiratory failure. She was started on oral azithromycin 500 mg daily in addition to oral doxycycline. Follow up CXR showed complete resolution of the pulmonary infiltrate (Figure 4)
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