Acute Severe Calculous Cholecystitis with Multiorgan Failure Complicated by Scrub Typhus

Abstract EN

Scrub typhus is a febrile illness and can present with manifestations ranging from subclinical symptoms to multiorgan failure and death.

Scrub typhus is a rare etiology of acute cholecystitis.

A patient presenting with the features of acute cholecystitis who does not respond to standard treatment should be screened for scrub typhus in a typhus endemic region.

We report a case of a 70-year-old female with acute severe calculous cholecystitis with multiorgan failure complicated by scrub typhus.

She improved remarkably after starting doxycycline for scrub typhus.

Scrub typhus should be considered as a trigger in a patient presenting with cholecystitis in a typhus endemic region.