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Table 1 The clinical feature, treatment, and outcome of patients with scrub typhus-related splenic rupture

From: Spontaneous splenic rupture associated with scrub typhus: a case report

 

Case 1

Case 2

Present case

Age

74 years

75 years

78 years

Sex

Female

Male

Male

Abdominal pain

Yes (right side pain)

Yes (LUQ pain)

Yes (LUQ pain)

Blood pressure

109/93 mmHg

110/70 mmHg

70/40 mmHg

Heart rate

120 beats/min

88 beats/min

140 beats/min

Hemodynamic instability

Yes

No

Yes

Time from the onset of symptom to diagnosis of splenic rupture

5 days

14 days

11 days

Treatment

   

Antibiotics, duration (day)

Chlorampenicol (PO, 1 day), doxycycline (PO, 6 days)

NA

Doxycycline (PO, 6 days) Azithromycin (IV, 6 days)

Medical treatment

Yes

Yes

Yes

Splenectomy

Done

Not done

Done

Outcome

Alive

Alive

Death

  1. NA not available, PO per oral, IV intravenous, LUQ left upper quadrant