Massive small bowel bleeding caused by scrub typhus in Korea  

作　　者：Ki Beom Bae Won Hwa Youn Youn Jae Lee Soo Jin Jung Kwan Hee Hong 

机构地区：[1]Department of Surgery,Inje University College of Medicine,Busan Paik Hospital [2]Department of Internal Medicine,Inje University College of Medicine,Busan Paik Hospital [3]Department of Pathology,Inje University College of Medicine,Busan Paik Hospital

出　　处：《World Journal of Gastrointestinal Surgery》2010年第2期47-50,共4页世界胃肠外科杂志（英文版）（电子版）

基　　金：Supported by A grant from Inje University, 2008

摘　　要：A 79-year-old man was diagnosed with scrub typhus based on fever,eschar,skin rash and a markedly elevated serum tsutsugamushi antibody and doxycycline was started.Five days later,hematochezia developed and multiple small bowel ulcerations with hemorrhage were seen on colonoscopy.Despite intensive therapy,the massive hematochezia worsened and the distal small bowel was resected.Multiple ulcerated lesions were identified pathologically as vasculitis caused by scrub typhus.This is the first reported case of pathologically proven small bowel involvement in scrub typhus infection.A 79-year-old man was diagnosed with scrub typhus based on fever, eschar, skin rash and a markedly elevated serum tsutsugamushi antibody and doxycycline was started. Five days later, hematochezia developed and multiple small bowel ulcerations with hemorrhage were seen on colonoscopy. Despite intensive therapy, the massive hematochezia worsened and the distal small bowel was resected. Multiple ulcerated lesions were identified pathologically as vasculitis caused by scrub typhus. This is the first reported case of pathologically proven small bowel involvement in scrub typhus infection.

关 键 词：HEMATOCHEZIA SMALL BOWEL BLEEDING Scrub TYPHUS Vasculitis Multiple SMALL BOWEL ULCERATIONS 

分 类 号：R516.3[医药卫生—内科学]