Myositis and rhabdomyolysis in scrub typhus infection: A case report  

作　　者：Tukaram Bolla Sushmita Bhattarai Harpreet Singh Vikas Suri Ashish Bhalla Debajyoti Chatterjee 

机构地区：[1]Department of Internal Medicine,Post Graduate Institute of Medical Education and Research,Chandigarh,160012,India [2]Department of Histopathology,Post Graduate Institute of Medical Education and Research,Chandigarh,160012,India

出　　处：《Asian Pacific Journal of Tropical Medicine》2023年第4期187-189,共3页亚太热带医药杂志（英文版）

摘　　要：Rationale:Fever with myositis and rhabdomyolysis is a medical emergency requiring prompt diagnosis and management.Scrub typhus associated myositis with rhabdomyolysis is rare.Patient concerns:A 36-year-old female presented with intermittent fever up to 38.6℃,jaundice and progressive weakness of all four limbs.Diagnosis:Scrub typhus associated myositis and rhabdomyolysis.Intervention:Doxycycline 100 mg twice daily and injection of ceftriaxone 1 gm twice daily along with continuous intravenous fluids.Outcome:Fever resolved with normalization of liver function and recovery of muscle power.Lessons:Presence of myositis and rhabdomyolysis is uncommon in scrub typhus;high clinical suspicion should be kept in patients with atypical manifestations of scrub typhus.

关 键 词：Scrub typhus MYOSITIS RHABDOMYOLYSIS DOXYCYCLINE Transaminitis VASCULITIS 

分 类 号：R513.2[医药卫生—内科学]