A Case of Acute Fulminant Myocarditis in Scrub Typhus |
쯔쯔가무시병에 동반된 전격성 심근염 1례 |
김정민; 최은성; 김현아; 류성열 |
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Abstract |
Scrub typhus; which is caused by Orientia tsutsugamushi; is an acute febrile illness characterized
by fever; rash; and lymphadenopathy. Severe complications are very rare. Recently; cases of
scrub typhus with severe complications; such as acute respiratory distress syndrome; septic
shock; acute renal failure; myocarditis and meningitis have been increasingly reported. An adult
patient with scrub typhus presented with normal EKG on admission and no hypotensive period;
subsequently developed chest pain on 6th hospital day. ST elevation of EKG and diffuse
ventricular dyskinesia of echocardiography appeared on 6th hospital day. We report a case of
acute fulminant myocarditis in adult with scrub typhus. This complication led to severe
cardiogenic shock and death. We believe this is the first report of fulminant myocarditis
complicating scrub typhus in Korea. |
Key Words:
Myocarditis, Scrub typhus |
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