Back to Search
Start Over
Scrub typhus mimicking the clinical course of infectious mononucleosis: a case report
- Source :
- Journal of Rural Medicine : JRM
- Publication Year :
- 2021
- Publisher :
- Japanese Association of Rural Medicine, 2021.
-
Abstract
- Objective: Scrub typhus is a relatively common life-threating disease; its symptoms are non-specific and similar to those of other viral infections. Therefore, scrub typhus might be underdiagnosed. Patient: Herein, we report a patient with scrub typhus whose clinical course mimicked that of infectious mononucleosis. A 63-year-old male patient with hypertension presented to our hospital complaining of symptoms including prolonged fever, pharyngeal discomfort, and a mild headache. He showed the appearance of a rash after amoxicillin administration. At the same time, he did not show a crusted rash on his body surface. Results: After a comprehensive examination, Epstein-Barr virus and cytomegalovirus infections were ruled out. We suspected that this patient suffered from scrub typhus on the basis of his usual lifestyle. Finally, polymerase chain reaction analysis showed a positive result for deoxyribonucleic acid of Orientia tsutsugamushi in his blood sample. Fortunately, he recovered naturally with only supportive treatment during his hospitalization. Conclusion: We should observe and monitor patients with infectious mononucleosis-like symptoms and emphasize the importance of a clinical interview.
- Subjects :
- medicine.medical_specialty
Orientia tsutsugamushi
Mononucleosis
Case Report
Disease
Scrub typhus
Virus
03 medical and health sciences
0302 clinical medicine
medicine
030212 general & internal medicine
030222 orthopedics
scrub typhus
integumentary system
biology
business.industry
Clinical course
infectious mononucleosis
Amoxicillin
bacterial infections and mycoses
medicine.disease
biology.organism_classification
Rash
Dermatology
medicine.symptom
business
medicine.drug
Subjects
Details
- ISSN :
- 18804888 and 1880487X
- Volume :
- 16
- Database :
- OpenAIRE
- Journal :
- Journal of Rural Medicine
- Accession number :
- edsair.doi.dedup.....92d85f7097b7bf3220f4ec23405f09db