摘要：Figures Authors F. Carémil 1 P.F. Wey 1 É. Nourry 1 F.X. Jean 1 É. Dardare 1 P. Gérome 3 C. de Charry 4 N. Alberti 5 A. Lamblin 25 * 1 Réanimation, hôpital d’instruction des armées Desgenettes, Lyon, France 2 Biologie médicale, hôpital d’instruction des armées Desgenettes, Lyon, France 3 Imagerie médicale, hôpital d’instruction des armées Desgenettes, Lyon, France 4 Imagerie médicale, hôpital d’instruction des armées Robert-Picqué, Villenave d’Ornon, France 5 Anesthésie-réanimation, hôpital d’instruction des armées Percy, 101 avenue Henri Barbusse, 92140 Clamart, France * Correspondance Key words: scrub typhus, rickettsial disease, septic shock DOI : 10.1684/mst.2015.0500 Page(s) : 31-4 Published in: 2016 For a patient recently returned from a tropical country in intensive care, the leading hypothesis for a fever leading to multiple organ failure is evidently malaria. Nonetheless, many other causes are possible and should be considered: parasites, viruses, and bacteria. A multidisciplinary discussion between specialists in emergency medicine, radiology, pathology, and infectious diseases is essential to start appropriate treatment as quickly as possible without impairing the patient's prognosis.
