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Q J Med 1988; 68: 595-602
© 1988 Association of Physicians


other

Scrub Typhus Pneumonitis: An Entity which is Frequently Missed

PANTIP CHAYAKUL, VIROJ PANICH* and KHACHORNSAKDI SILPAPOJAKUL

Division of Infectious Diseases, Department of Medicine, Faculty of Medicine, Prince of Songkla University Songkla, Thailand *Hat Yai Municipal Hospital Hat Yai, Songkla, Thailand

Accepted for publication 7 April 1988.

Four cases of scrub typhus pneumonitis are reported. Diagnosis was confirmed by positive Weil-Felix OX-K reaction and immunofluorescent antibody test for Rickettsia tsutsugamushi. Two patients presented with atypical pneumonia and two had overwhelming pneumonia resembling adult respiratory distress syndrome. All patients made a full recovery after appropriate treatment.


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