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A Case of Scrub Typhus Complicated by Adult Respiratory Distress Syndrome and Successful Management with Extracorporeal Membrane Oxygenation

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  • 1 Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
  • | 2 Department of Thoracic and Cardiovascular Surgery, Inha University School of Medicine, Incheon, Korea.
  • | 3 Department of Microbiology, Inha University School of Medicine, Incheon, Korea.
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A 67-year-old woman was diagnosed as having scrub typhus with pneumonitis. On admission, she was started on a combination therapy with levofloxacin and doxycycline. However, the patient developed severe acute respiratory distress syndrome (ARDS) on the 2nd day, and as a result, she underwent extracorporeal membrane oxygenation (ECMO). She was weaned from ECMO on the 10th day, as her respiratory status gradually improved. She was discharged without sequelae on the 23rd day. The outcome suggests that the use of ECMO should be considered for patients with ARDS induced from scrub typhus.

Author Notes

* Address correspondence to Jin-Soo Lee, Division of Infectious Diseases and Infection Control Unit, Department of Internal Medicine, Inha University School of Medicine, 27 Inhang-ro, Jung-gu, Incheon, Korea. E-mail: ljinsoo@inha.ac.kr

Authors' addresses: Woo Young Choi, Seung Yun Lee, Hea Yoon Kwon, Jae Hyoung Im, Areum Durey, Ji Hyeon Baek, Young Sam Kim, and Jin-Soo Lee, Department of Internal Medicine, Inha University Hospital, Incheon, Korea, E-mails: winsomew@naver.com, sylin23@naver.com, haeyoon85@daum.net, dylife83@naver.com, arkim1202@inhauh.com, jhbaek@inha.ac.kr, yskim0922@inhauh.com, and ljinsoo@inha.ac.kr. Jae-Seung Kang, Department of Microbiology, Inha University College of Medicine, Incheon, Korea, E-mail: jaeskang@inha.ac.kr.

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