Granulomatous hepatitis associated with scrub typhus

RONG‐NAN ‐N CHIEN, NAI‐JEN ‐J LIU, PAUL Y. LIN, YUN‐FAN ‐F LIAW*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

19 Scopus citations

Abstract

A 56 year old patient with scrub typhus infection having unusual presentation of hepatic injury resembling acute hepatitis is described. The clinical features of fever, headache, eschar, lymphadenopathy, lymphocytosis and high Rickettsia tsutsugamushi immunofluorescence titres confirmed the diagnosis of scrub typhus. Acute hepatitis was proven by hepatic biochemical tests and liver biopsy. The patient had a complete recovery soon after antibiotic treatment. The presentation of this case suggests that scrub typhus infection should be included in the list of differential diagnosis of acute hepatitis or granulomatous hepatitis, at least in the Asian Pacific region where scrub typhus still prevails.

Original languageEnglish
Pages (from-to)484-487
Number of pages4
JournalJournal of Gastroenterology and Hepatology (Australia)
Volume10
Issue number4
DOIs
StatePublished - 08 1995
Externally publishedYes

Keywords

  • acute hepatitis
  • granulomatous hepatitis
  • scrub typhus

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