Acute respiratory distress syndrome following scrub typhus: A case report

Chien Chih Tseng, Heng Hsin Tung*, Shu Fang Wu, Tsae Jyy Wang

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Purpose: To discuss a case of scrub typhus complicated with acute respiratory distress syndrome (ARDS) in a 67-year-old female. An overview of the prevalence and pathogenesis of the disorder, clinical diagnosis, and treatment are presented. Data sources: Case report, diagnostic evidence, and scientific literature. Conclusions: If not properly treated, scrub typhus can cause serious complications, such as ARDS and septicemia. When left untreated, the mortality rate for scrub typhus will be increased. When there is a cause to believe that scrub typhus is present, doxycycline treatment leads to rapid symptom improvement. Implications for practice: People might not be aware of the possibility of scrub typhus because it had been a more common disease in the past. Nurse practitioners (NPs) should take a detail history and be aware of common clinical manifestations to promote the early recognition and appropriate treatment of scrub typhus, which would prevent severe complications and reduce mortality. A resurgence of the disease could occur at any time among military troops serving in endemic regions.

Original languageEnglish
Pages (from-to)160-165
Number of pages6
JournalJournal of the American Academy of Nurse Practitioners
Issue number3
StatePublished - Mar 2012


  • Acute care
  • Clinic
  • Health care
  • Nurse practitioners
  • Pulmonary


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