Abstract
We describe a scrub typhus patient with acute renal failure for whom a diagnosis was made based on serology as well as immunohistochemical (IHC) staining and an electron microscopic examination (EM) of a renal biopsy specimen. For our case, we demonstrated by IHC staining and EM that renal failure was caused by acute tubular necrosis due to a direct invasion of Orientia tsutsugamushi.
MeSH terms
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Acute Kidney Injury / etiology*
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Acute Kidney Injury / microbiology
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Acute Kidney Injury / pathology
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Adult
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Humans
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Immunohistochemistry
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Kidney Tubular Necrosis, Acute / etiology
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Kidney Tubular Necrosis, Acute / microbiology*
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Kidney Tubular Necrosis, Acute / pathology
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Male
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Microscopy, Electron
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Orientia tsutsugamushi / isolation & purification
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Orientia tsutsugamushi / pathogenicity*
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Scrub Typhus / complications*
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Scrub Typhus / microbiology