Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
CASE REPORTS
Scrub Typhus-Induced Serious Gastric Ulcer Bleeding
Chisho HoshinoMasashi NaritaAkane YamabeYoshiyuki SekikawaKana IshiharaHiroshi IkedaNoriyuki SatohMinoru Inoue
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JOURNALS OPEN ACCESS

2011 Volume 50 Issue 21 Pages 2675-2677

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Abstract

A 67-year-old woman presented with melena and general weakness. Upper gastrointestinal (GI) endoscopy revealed multiple ulcers and projectile bleeding in the stomach. She also complained of a 10-day history of a fever and was diagnosed with scrub typhus based on a positive result of the eschar polymerase chain reaction (PCR) testing. She fully recovered with endoscopic hemostasis, and administration of minocycline and omeprazole. In a patient with GI manifestations, scrub typhus, a condition with pathologically systemic vasculitis, should be considered in the possible background in endemic areas. The eschar PCR testing is a rapid and useful diagnostic tool to identify a specific strain.

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© 2011 by The Japanese Society of Internal Medicine
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