Doenças Infecciosas Clínicas: Acesso Aberto

A case of Successful Treatment of Septic Shock secondary to Scrub Typhus.

Abstract

Ahmad Faiq Sa'dan Mohd Zaini and Azlina Ibrahim*

Scrub typhus is a tropical disease and endemic problem mostly in rural parts of Malaysia. Typical presentation is acute febrile illness with systemic involvement, Multiple Organ failure and death. The non-specific flu like symptoms, low index of suspicion by clinicians and the unavailability of diagnostic test in most healthcare centres results in under-recognized scrub typhus. We report a case of a traveller to rainforest - National Park, Malaysia who presented with acute febrile illness and septicemic shock with pathognomonic eschar and positive serology test for scrub typhus. The patient recovered after appropriate diagnosis and prompt treatment.