Document Detail


Scrub typhus during pregnancy: a case report and review of the literature.
MedLine Citation:
PMID:  15691136     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Scrub typhus is a rickettsial disease that is uncommon during pregnancy. We report a case of a 33-year-old woman, G1P0, 29 weeks pregnancy who presented to hospital with high fever, chill and headache for two weeks. Her diagnosis of scrub typhus was confirmed by serum immunofluorescent assay. She was successfully treated with chloramphenicol, but preterm delivery occurred. Her infant died from respiratory distress syndrome. No vertical transmission was demonstrated in this case. Scrub typhus should be listed in the differential diagnosis of acute febrile illness in pregnant women, who either live in, or return from, endemic areas. Chloramphenicol can be used safely during pregnancy if it is not circulating at the time of delivery.
Authors:
Vorapong Phupong; Kanyalak Srettakraikul
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The Southeast Asian journal of tropical medicine and public health     Volume:  35     ISSN:  0125-1562     ISO Abbreviation:  Southeast Asian J. Trop. Med. Public Health     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2005-02-04     Completed Date:  2005-05-09     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0266303     Medline TA:  Southeast Asian J Trop Med Public Health     Country:  Thailand    
Other Details:
Languages:  eng     Pagination:  358-60     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. vorapong.p@chula.ac.th
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MeSH Terms
Descriptor/Qualifier:
Adult
Animals
Arthropod Vectors
Bites and Stings / microbiology
Chloramphenicol / therapeutic use
Diagnosis, Differential
Female
Fluorescent Antibody Technique
Humans
Infant, Newborn
Orientia tsutsugamushi / drug effects,  immunology*
Pregnancy
Pregnancy Complications, Infectious / diagnosis*,  drug therapy,  microbiology
Pregnancy Trimester, Third
Scrub Typhus / diagnosis*,  drug therapy,  microbiology
Trombiculidae / microbiology
Chemical
Reg. No./Substance:
56-75-7/Chloramphenicol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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