Gene/Protein
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Compound
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Gene/Protein
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Target Concepts:
Gene/Protein
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Query: UMLS:C0740577 (
acute abdominal pain
)
1,982
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Scrub typhus
present with a variety clinical manifestations caused by
Orientia tsutsugamushi
, it is sometimes accompanied by severe complications. The clinical course of this complication is not well clear. Herein, we first report a case with acute cholangitis and acalculous cholecystitis caused by the Boryong genotype of
O. tsutsugamushi
. A 82-year-old woman presented with fever and
acute abdominal pain
on the right upper quadrant. Initially, the patient showed an abnormality of liver enzymes of cholestatic pattern. An acute cholangitis and cholecystitis were suspected on the enhanced computed tomography (CT), and emergent endoscopic retrograde cholangiopancreatography (ERCP) performed. However, neither ERCP nor CT detected common bile duct stones or sludge. The patient's illness progressed despite bile drainage and antibiotic therapy. On the fifth day in hospital, an immunofluorescence IgG assay for
O. tsutsugamushi
was positive, and the patient newly developed a skin rash and an eschar lesion on the right abdomen. The polymerase chain reaction amplification of
Orientia
genes from blood and bile was positive, genotype of both samples was identified the Boryong type. The presentation of
scrub typhus
as an acute cholangitis is not reported till now. In endemic areas,
scrub typhus
would be considered a rare etiology of acute cholangitis.
...
PMID:Acute Cholangitis Caused by Boryong Strain of
Orientia tsutsugamushi
. 3286 54
