case_images: PMC10544144_01
case_images: Necleotide Position along Orientia tsutsugamushi Genome.
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case_images: Fortunately, we received an mNGS report from the laboratory, which demonstrated Orientia tsutsugamushi in peripheral blood (Figure 1).
case_images: A flowchart describing all of the steps leading to the conclusion of Orientia tsutsugamushi.
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case_images: After five days of changing antibiotic treatment, the patient's symptoms abated (Figure 2).
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case_images: Clinical course of the 76-Year-Old Patient with Scrub Typhus. (A) Skin eschar on the anterior chest wall. (B) Result of bedside chest x-ray (CXR), the red circle demonstrated multiple patchy exudations in bilateral lungs. (C) Chest picture of Computed tomography (CT), the location pointed by the red arrow indicates extensive interstitial inflammation in the lungs. (D) Individual Aspergillus fumigatus growing on the agar surface after incubation.
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case_images: On physical examination, there was a notable eschar on the anterior chest wall (Figure 3A). Computed tomography (CT) and X-ray of the chest showed multiple exudations from bilateral lungs (Figure 3B and C). Aspergillus fumigatus, a kind of fungi, was found (Figure 3D) Voriconic needle was recommended to be given the first dose of 400mg, followed by 200mg q12h intravenous drip. After one day of antifungal treatment, the patient's shortness of breath abated significantly.