Kidney Res Clin Pract.  2013 Dec;32(4):190-193.

A case of scrub typhus requiring maintenance hemodialysis

Affiliations
  • 1Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Korea. eylee@sch.ac.kr
  • 2Department of Pathology, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
  • 3Institute of Glocal Disease Control and Department of Microbiology, College of Medicine, Konkuk University, Seoul, Korea.

Abstract

Renal failure caused by scrub typhus is known to be reversible. In most cases, renal function is almost fully restored after appropriate antibiotic treatment. A 71-year-old man was diagnosed with scrub typhus complicated by renal failure. A renal biopsy revealed histopathologic findings consistent with acute tubulointerstitial nephritis. Renal function did not improve 18 months after discharge and the patient required continuous hemodialysis. Although severe renal failure requiring dialysis is a rare complication of scrub typhus, we describe a case of scrub typhus requiring maintenance hemodialysis. To the best of our knowledge, this is the first such report.

Keyword

End-stage renal disease; Hemodialysis; Scrub typhus; Tubulointerstitial nephritis

MeSH Terms

Aged
Biopsy
Dialysis
Humans
Kidney Failure, Chronic
Nephritis, Interstitial
Renal Dialysis*
Renal Insufficiency
Scrub Typhus*
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