쯔쯔가무시병에 동반된 전격성 심근염 1례
- Author(s)
- 김정민; 최은성; 김현아; 류성열
- Keimyung Author(s)
- Kim, Hyun Ah; Ryu, Seong Yeol
- Department
- Dept. of Internal Medicine (내과학)
- Journal Title
- Keimyung Medical Journal
- Issued Date
- 2011
- Volume
- 30
- Issue
- 1
- Keyword
- Myocarditis; Scrub typhus
- 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.
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