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 |