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Journal of Case Reports
Hypoalbuminemia and Multi Organ Dysfunction in a Case of Scrub Typhus

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S Sridevi, SV Mythili,  AJ Manjula Devi, B Shanthi, VS Kalai Selvi
From the Department of Biochemistry, Sree Balaji Medical College & Hospital, Chromepet, Chennai, Tamil Nadu, India.
Corresponding Author:
Dr. S Sridevi
Email: devisree9923@yahoo.co.in
Received: 12-MAY-2013 Accepted: 27-MAY-2013 Published Online: 15-JUN-2013
DOI: http://dx.doi.org/10.17659/01.2013.0043
Abstract
Scrub typhus also known as ‘Tsutsugamushi disease’ is a mite borne bacterial infection caused by Orientia tsutsugamushi. Usually the symptoms are mild and the clinical course is uneventful. However, some patients may experience severe fatal events involving multi organ system. We report a 23 year old patient, admitted with fever, skin lesion and unconsciousness and was diagnosed to have scrub typhus with multiorgan dysfunction and hypoalbuminemia resulting in fatal outcome. The aim of this case report is to reemphasize that hypoalbuminemia with multi organ dysfunction could lead to fatal outcome in scrub typhus.
Keywords : Scrub Typhus, Mites, Orientia tsutsugamushi, Hypoalbuminemia, Fever.
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