Rapid Recovery of Acute Respiratory Distress Syndrome in Scrub Typhus, With Pulse Methylprednisolone and Therapeutic Plasma Exchange.

Autor: Rathnasekara T; Internal Medicine, Postgraduate Institute of Medicine, University of Colombo, Colombo, LKA., Wijekoon L; Medicine, Faculty of Medicine, University of Rajarata, Anuradhapura, LKA., Senanayake H; Medicine, Faculty of Medicine, University of Rajarata, Anuradhapura, LKA., Siribaddana S; Medicine, Faculty of Medicine, University of Rajarata, Anuradhapura, LKA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2022 Oct 15; Vol. 14 (10), pp. e30329. Date of Electronic Publication: 2022 Oct 15 (Print Publication: 2022).
DOI: 10.7759/cureus.30329
Abstrakt: Acute respiratory distress syndrome (ARDS) is an atypical presentation of scrub typhus infection with associated high morbidity and mortality compared to uncomplicated scrub typhus infection. Here we report an otherwise healthy 41-year-old female patient admitted with moderate ARDS secondary to scrub typhus infection who gained comparatively rapid recovery within 72 hours following intravenous methylprednisolone pulse (MPP) therapy with therapeutic plasma exchange (TPE), suggesting a beneficial role of MPP and TPE in the treatment of ARDS secondary to scrub typhus infection. To our knowledge, this is the first case report regarding the use of MPP therapy and TPE in a patient with ARDS due to scrub typhus infection.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2022, Rathnasekara et al.)
Databáze: MEDLINE