Acalculous cholecystitis and pancreatitis are rare complications of scrub typhus in children. In febrile patients from an endemic area with multisystem involvement, scrub typhus should be a differential diagnosis. Scrub typhus patients who develop abdominal pain, acute cholecystitis or pancreatitis should be suspected.
MathaiERolainJMVergeseGM, et al.Outbreak of scrub typhus in southern India during the cooler months. Ann N Y Acad Sci2003; 990: 359–364.
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VargheseGMTrowbridgePJanardhananJ, et al.Clinical profile and improving mortality trend of scrub typhus in south India. Int J Infect Dis2014; 23: 39–43.
WuKMWuZWPengGQ, et al.Radiologic pulmonary findings, clinical manifestations and serious complications in scrub typhus. Experiences from a teaching hospital in Eastern Taiwan. Int J Gerontol2009; 3: 197–264.