Korean J Anesthesiol.
1997 Apr;32(4):668-672. 10.4097/kjae.1997.32.4.668.
Acute Pulmonary Edema following Cholecystectomy in the Patient with Tsutsugamshi Disease: Case report
- Affiliations
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- 1Department of Anesthesiology, College of Medicine, Hanyang University, Seoul, Korea.
- 2Department of Pathology, College of Medicine, Hanyang University, Seoul, Korea.
- 3Department of General Surgery, College of Medicine, Hanyang University, Seoul, Korea.
- 4Department of General Surgery, Ajou University of School of Medicine, Suwon, Korea.
- KMID: 1934630
- DOI: http://doi.org/10.4097/kjae.1997.32.4.668
Abstract
- Tsutsugamshi disease occurs rarely in Korea in the autumn, sometimes in October through November. The illness is characterized by severe headache, fever, chillness, generalized weakness, hepatosplenomegaly, and lymphadenopathy. Pulmonary complications following invasion of pulmonary vasculatures by R. tsutsugamushi were reported frequently in Korea. The diagnosis of the disease is very difficult because of its nonspecific clinical manifestations. Its seasonal occurrence, history of the bite of an infected mite, positive response and serum antibody titer and typical pathologic findings of vasculitis are especially useful in establishing the diagnosis. We experienced a case of Tsutsugamshi disease diagnosed during the treatment of acute pulmonary edema occurred postoperatively. Administration of vibramycin would be helpful for the treatment of the underlying disease of the pulmonary edema.
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