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Acute respiratory distress syndrome following scrub typhus: a case report.
J Am Acad Nurse Pract. 2012 Mar; 24(3):160-5.JA

Abstract

PURPOSE

To discuss a case of scrub typhus complicated with acute respiratory distress syndrome (ARDS) in a 67-year-old female. An overview of the prevalence and pathogenesis of the disorder, clinical diagnosis, and treatment are presented.

DATA SOURCES

Case report, diagnostic evidence, and scientific literature.

CONCLUSIONS

If not properly treated, scrub typhus can cause serious complications, such as ARDS and septicemia. When left untreated, the mortality rate for scrub typhus will be increased. When there is a cause to believe that scrub typhus is present, doxycycline treatment leads to rapid symptom improvement.

IMPLICATIONS FOR PRACTICE

People might not be aware of the possibility of scrub typhus because it had been a more common disease in the past. Nurse practitioners (NPs) should take a detail history and be aware of common clinical manifestations to promote the early recognition and appropriate treatment of scrub typhus, which would prevent severe complications and reduce mortality. A resurgence of the disease could occur at any time among military troops serving in endemic regions.

Authors+Show Affiliations

Shin Kong Wu Ho-Su Memorial Hospital, National Taipei University of Nursing and Health Science, Taipei, Taiwan.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22404794

Citation

Tseng, Chien-Chih, et al. "Acute Respiratory Distress Syndrome Following Scrub Typhus: a Case Report." Journal of the American Academy of Nurse Practitioners, vol. 24, no. 3, 2012, pp. 160-5.
Tseng CC, Tung HH, Wu SF, et al. Acute respiratory distress syndrome following scrub typhus: a case report. J Am Acad Nurse Pract. 2012;24(3):160-5.
Tseng, C. C., Tung, H. H., Wu, S. F., & Wang, T. J. (2012). Acute respiratory distress syndrome following scrub typhus: a case report. Journal of the American Academy of Nurse Practitioners, 24(3), 160-5. https://doi.org/10.1111/j.1745-7599.2011.00706.x
Tseng CC, et al. Acute Respiratory Distress Syndrome Following Scrub Typhus: a Case Report. J Am Acad Nurse Pract. 2012;24(3):160-5. PubMed PMID: 22404794.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acute respiratory distress syndrome following scrub typhus: a case report. AU - Tseng,Chien-Chih, AU - Tung,Heng-Hsin, AU - Wu,Shu-Fang, AU - Wang,Tsae-Jyy, Y1 - 2012/02/24/ PY - 2012/3/13/entrez PY - 2012/3/13/pubmed PY - 2012/7/14/medline SP - 160 EP - 5 JF - Journal of the American Academy of Nurse Practitioners JO - J Am Acad Nurse Pract VL - 24 IS - 3 N2 - PURPOSE: To discuss a case of scrub typhus complicated with acute respiratory distress syndrome (ARDS) in a 67-year-old female. An overview of the prevalence and pathogenesis of the disorder, clinical diagnosis, and treatment are presented. DATA SOURCES: Case report, diagnostic evidence, and scientific literature. CONCLUSIONS: If not properly treated, scrub typhus can cause serious complications, such as ARDS and septicemia. When left untreated, the mortality rate for scrub typhus will be increased. When there is a cause to believe that scrub typhus is present, doxycycline treatment leads to rapid symptom improvement. IMPLICATIONS FOR PRACTICE: People might not be aware of the possibility of scrub typhus because it had been a more common disease in the past. Nurse practitioners (NPs) should take a detail history and be aware of common clinical manifestations to promote the early recognition and appropriate treatment of scrub typhus, which would prevent severe complications and reduce mortality. A resurgence of the disease could occur at any time among military troops serving in endemic regions. SN - 1745-7599 UR - https://www.unboundmedicine.com/medline/citation/22404794/Acute_respiratory_distress_syndrome_following_scrub_typhus:_a_case_report_ L2 - https://doi.org/10.1111/j.1745-7599.2011.00706.x DB - PRIME DP - Unbound Medicine ER -