Emergency Nursing Care for a Pediatric Patient with Severe Scrub Typhus Complicated by Hemophagocytic Syndrome and Septic Shock

This article summarizes the nursing management of a pediatric patient with severe scrub typhus complicated by hemophagocytic syndrome (HPS) and septic shock. Key nursing interventions included early recognition and management of septic shock, rational oxygen therapy, fluid resuscitation, administration of vasoactive agents, early and targeted anti-infective therapy, management of hyperpyrexia, care of eschar and edematous skin, strict infection prevention and isolation protocols, and family health education. After 11 days of intensive treatment and nursing care, the patient recovered and was discharged.