Scrub typhus: radiological and clinical findings in abdominopelvic involvement View Full Text


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Article Info

DATE

2017-01-02

AUTHORS

Kun Yung Kim, Ji Soo Song, Eun Hae Park, Gong Yong Jin

ABSTRACT

PurposeTo describe the clinical and radiological findings of abdominopelvic involvement in scrub typhus.Materials and methodsAbdominopelvic computed tomography (CT) of 78 patients with scrub typhus were evaluated by two readers. The presence of gallbladder wall thickening, arterial inhomogeneous enhancement of the liver, periportal edema, splenic infarction, hepatomegaly, splenomegaly, ascites, pleural effusion, and sites of lymphadenopathy were evaluated. Patients were divided into four clinical subgroups according to laboratory findings. Association between imaging findings and subgroups was analyzed by Chi squared test or Fisher’s exact test.ResultsThe most common CT finding was hepatomegaly (74.4%), followed by splenomegaly (66.7%). The majority of patients had at least three areas of abdominopelvic lymphadenopathy (71.8%). Pelvic lymphadenopathy was most commonly seen when eschar was found in the ipsilateral lower extremity (left, n = 5/7; right, n = 8/13). Significant association between hepatic dysfunction and perigastric lymphadenopathy was documented (p = 0.03).ConclusionScrub typhus has a spectrum of variable clinical and radiological findings mimicking those of acute hepatitis. Diffuse abdominopelvic lymphadenopathy involving the retroperitoneum and pelvic area may aid in early diagnosis of scrub typhus. Perigastric lymphadenopathy could be a sign of severe scrub typhus combined with hepatic dysfunction. More... »

PAGES

101-108

References to SciGraph publications

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URI

http://scigraph.springernature.com/pub.10.1007/s11604-016-0607-6

DOI

http://dx.doi.org/10.1007/s11604-016-0607-6

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1001978113

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28044222


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