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ISSN : 1225-0082(Print)
ISSN : 2288-1905(Online)
The Medical Journal of Chosun University Vol.38 No.3 pp.151-153

급성 담관염을 동반한 쯔쯔가무시병 증례

오영수1, 김유나1, 안대성1, 정재훈1, 김미정2,*
1세종병원 내과학교실, 2포항성모병원 감염내과학교실

A Case of Scrub Typhus Complicated with Acute Cholangitis

Mi Jeong Kim2,*, Young Soo Oh1, Yu Na Kim1, Dae Sung Ahn1, Jae Hoon Chung1
2Division of Infectious Disease, Department of Internal Medicine, Pohang Saint Mary’s Hospital
1Department of Internal Medicine, Sejong Hospital, Bucheon, Republic of Korea
(Received August 19, 2013; Accepted September 16, 2013)


We report on a case of acute cholangitis associated with scrub typhus. A 66-year-old man was admitted because of rightupper quadrant abdominal pain, fever, and general myalgia. Whole abdominal ultrasonography and computed tomographyrevealed diffuse dilatation of the common bile duct (CBD) with multiple stones. Acute cholangitis was strongly suspectedand proper antibiotic treatment of scrub typhus was started later. This case demonstrates the importance of consideration oftsutsugamushi disease based on the patient's history of exposure, and clinical features in endemic areas.


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