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KMID : 1148020130380030151
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조선대학교의대논문집
2013 Volume.38 No. 3 p.151 ~ p.153
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A Case of Scrub Typhus Complicated with Acute Cholangitis
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Oh Young-Soo
Kim Yu-Na
Ahn Dae-Sung
Chung Jae-Hoon
Kim Mi-Jeong
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Abstract
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We report on a case of acute cholangitis associated with scrub typhus. A 66-year-old man was admitted because of rightupper quadrant abdominal pain, fever, and general myalgia. Whole abdominal ultrasonography and computed tomographyrevealed diffuse dilatation of the common bile duct (CBD) with multiple stones. Acute cholangitis was strongly suspectedand proper antibiotic treatment of scrub typhus was started later. This case demonstrates the importance of consideration oftsutsugamushi disease based on the patient's history of exposure, and clinical features in endemic areas.
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KEYWORD
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Scrub typhus, Orientia tsutsugamushi, Acute cholangitis, Vasculitis
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