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쓰쓰가무시병과 렙토스피라병 동시 감염 1예

A Case of Concomitant Scrub Typhus and Leptospirosis

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2007, v.63 no.4, pp.378-381
이상표 (한양의대)
신동호 (한양대학교)
박성수 (한양대학교)
김태형 (한양대학교)
손장원 (한양대학교)
윤호주 (한양대학교)
신현종 (한양의대)
이희경 (한양의대)
곽현정 (한양의대)
김상헌 (한양대학교)
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Abstract

Tsutsugamushi disease (Scrub typhus) is an acute, febrile illness caused by Orientia tsutsugamushi, which is transmitted to humans through chigger bites. Leptospirosis, a febrile disease caused by various pathogenic Leptospira, and is acquired by exposure to contaminated water and soil. Both diseases have been the most common acute febrile diseases in the autumn in Korea for many years. Concomitant leptospirosis and scrub typhus is quite rare. We report a case of a coinfection with leptospirosis and scrub typhus in a 51-year-old male who presented with fever, abdominal pain and acute dyspnea. The patient was diagnosed with as acalculous cholecystitis, acute respiratory distress syndrome, and septic shock caused by the infection. This is the first case report of a coinfection with leptospirosis and scrub typhus in Korea. (Tuberc Respir Dis 2007; 63: 378-381)

keywords
Leptospirosis, Scrub typhus., Leptospirosis, Scrub typhus.

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Tuberculosis & Respiratory Diseases