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Suffering from multiple organ failure due to a mite bite on the buttocks.

Công LuậnCông Luận30/07/2023


On July 29th, Dr. Hoang Cong Tinh, from the Intensive Care Unit 1 of Hoa Binh Provincial General Hospital, stated that upon admission, the patient was in respiratory failure, experiencing continuous high fever, chills, and signs of infection and intoxication. Upon examination, doctors discovered a mite bite wound on the patient's left buttock.

According to the patient's family, the man worked in agriculture and beekeeping on rocky mountains. A week before being admitted to the hospital, he developed a fever and body aches. He self-medicated with fever-reducing medication at home but it didn't help, so his family took him to Hoa Binh Provincial General Hospital.

At the hospital, tests revealed acute liver and kidney damage, coagulation disorders, and signs of pneumonia. The patient was diagnosed with multiple organ failure due to scrub typhus and was treated with mechanical ventilation, specific antibiotics, and supportive measures for organ failure. Currently, the man's health has stabilized.

Increased skin degeneration due to fat accumulation (Figure 1)

The wound was caused by a mite bite on the patient's buttocks. (Photo provided by the hospital).

According to doctors, scrub typhus is an acute infectious disease with a high mortality rate if not diagnosed early and treated specifically. The disease has diverse symptoms and is easily confused with other illnesses.

The bacteria that cause the disease are called Orientalis, belonging to the Rickettsia family. Mite larvae carrying Orientalis bacteria transmit the disease to humans through their bites; therefore, mite larvae are the intermediate vector for transmission. Fever, headache, body aches, skin ulcers, rash, swollen lymph nodes, and multi-organ damage are the main symptoms of the disease.

Doctors say that people of all ages can contract the disease, but it is most common among working-age individuals. To prevent it, when going into fields, hills, or mountains, people should wear protective clothing treated with insect repellent, apply insect-repellent to exposed skin, and avoid sitting, lying down, or drying clothes near trees or bushes.

Thu Phuong



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