Scrub typhus associated acute kidney injury in a 33-year-old male

Authors

  • Nyamnyei Konyak Department of Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India
  • Medo M. Kuotsu Department of Medicine, Regional Institute of Medical Sciences, Imphal-795004
  • Labresai Mog Dpartment of Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India
  • Sandipa Roy Chowdhury partment of Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India
  • Prity Ering partment of Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India
  • Prabin Kumar Majhi partment of Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India
  • Pranab Kumar Medhi partment of Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20213250

Keywords:

Scrub typhus, Orientia tsutsugamushi, AKI, Recovery

Abstract

Scrub typhus or bush typhus is caused by Orientia tsutsugamushi. An eschar at the site of bite is evidentiary of scrub typhus. Increased mortality is seen in cases presenting with acute kidney injury (AKI), acute respiratory distress syndrome (ARDS), pneumonitis, meningitis, myocarditis and multi-organ dysfunction. Renal impairment in scrub typhus should be identified and management initiated early to prevent the progress of the damage. Scrub typhus if left undiagnosed and untreated results in high morbidity and mortality. Here we report a case of a 33-year-old male with AKI following scrub typhus fever. In our case early diagnosis and management led the patient to recovery.

Author Biographies

Nyamnyei Konyak, Department of Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India

Post Graduate Trainee, Department of Medicine, Regional Institute of Medical Sciences, Imphal

Medo M. Kuotsu, Department of Medicine, Regional Institute of Medical Sciences, Imphal-795004

Post Graduate Trainee, Department of Medicine, Regional Institute of Medical Sciences, Imphal

Labresai Mog, Dpartment of Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India

Post Graduate Trainee, Department of Medicine, Regional Institute of Medical Sciences, Imphal

Sandipa Roy Chowdhury, partment of Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India

Post Graduate Trainee, Department of Medicine, Regional Institute of Medical Sciences, Imphal

Prity Ering, partment of Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India

Post Graduate Trainee, Department of Medicine, Regional Institute of Medical Sciences, Imphal

Prabin Kumar Majhi, partment of Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India

Senior Resident, Department of Nephrology, Regional Institute of Medical Sciences, Imphal

Pranab Kumar Medhi, partment of Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India

Senior Resident, Department of Nephrology, Regional Institute of Medical Sciences, Imphal

References

Raoult D. Scrub typhus. In: Mandell GL, Douglas RG, Bennett JE, Dolin R, editors. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases. 6th ed. Philadelphia, PA: Elsevier/Churchill Livingstone. 2005;2309-10.

Varghese GM, Abraham OC, Mathai D, Thomas K, Aaron R, Kavitha ML et al. Scrub typhus among hospitalized patients with febrile illness in South India: magnitude and clinical predictors. J Infect. 2006;52:56-60

Kim DM, Kang DW, Kim JO, Chung JH, Kim HL, Park CY et al. Acute renal failure due to acute tubular necrosis caused by direct invasion Oriental tsutsugamushi. J Clin Microbiol. 2008;46:1548-50.

Vivekanandan M, Mani A, Priya YS, Singh AP, Jayakumar S, Purty S. Outbreak of scrub typhus in Pondicherry. J Assoc Physicians India. 2010;58:24-8.

Lee S, Kang KP, Kim W, Kang SK, Lee HB, Park SK. A case of acute renal failure, rhabdomyolysis and disseminated intravascular coagulation associated with scrub typhus. Clin Nephrol. 2003;60:59-61.

Young PC, Hae CC, Lee KH, Hoon CJ. Tsutsugamushi infection associated acute rhabdomyolysis and acute renal failure. Korean J Intern Med. 2003;18(4):248-50.

Boyd AS, Neldner KH. Typhus disease group. Int J Dermatol. 1992;31:823-32.

Yen TH, Chang CT, Lin JL, Jiang JR, Lee KF. Scrub typhus: a frequently overlooked cause of acute renal failure. Ren Fail. 2003;25:397-410.

Hullatti C, Latha GS, Veeresh Babu BV. Hyponatremia: a diagnostic marker for the diagnosis of Rickettsia diseases. Inter J Contempor Pediatr. 2017;4(3):696-9.

Mahajan SK. Scrub typhus. J Assoc Physicians India 2005;53:954-8.

Downloads

Published

2021-08-21

Issue

Section

Case Reports