Monitoring of ventilation in prone position in a patient diagnosed with scrub typhus and acute respiratory distress syndrome by using an electrical impedance tomography: a case report
Year: 2024
Type: article
Study design: Case Report
Abstract: Scrub typhus is an infectious disease caused by Orientia tsutsugamushi. It is transmitted through bite of chigger mite larvae and presents with symptoms such as fever, myalgia, headache, rash, and a characteristic eschar at the site of mite bites. This report details the case of a woman exhibiting acute febrile illness, bilateral pneumonia, and severe hypoxemia, prompting suspicion of scrub typhus due to the presence of a typical eschar on the pubic mound. The patient underwent combined therapy with azithromycin and doxycycline, alongside supplemental oxygen and prone positioning, with continuous monitoring facilitated by Electrical Impedance Tomography (EIT). Eventually the patient's symptoms improved. This case highlights the importance of timely identification of ARDS in scrub typhus patients and the utility of EIT in monitoring disease progression.
Source: Tropical biomedicine
DOI: 10.47665/tb.41.4.006
Authors: Huang L., Chen L.N., Jia S.W., Li M.
Institution: Zhejiang University
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4406514989