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A case report of scrub typhus complicated with myocarditis and rhabdomyolysis.
BMC Infect Dis. 2018 Nov 07; 18(1):551.BI

Abstract

BACKGROUND

Scrub typhus is a zoonotic disease caused by Orientia tsutsugamushi, a gram-negative intracellular bacterium. Myocarditis and rhabdomyolysis are rare complications of scrub typhus.

CASE PRESENTATION

We report a case of scrub typhus, which was simultaneously complicated with myocarditis and rhabdomyolysis. A 54-year-old woman presented to our hospital with myalgia in the upper and lower limbs, oedema and a fever of 7 days' duration. We confirmed the diagnosis of scrub typhus complicated with myocarditis by pericardial fluid analysis and cardiac magnetic resonance imaging results. The pericardial fluid showed characteristics of an exudate, an elevated immunofluorescence assay (IFA) IgG titer of 1:2048 and a positive 16S rRNA qPCR result. We also diagnosed rhabdomyolysis by the patient's presenting symptoms, elevated muscle enzyme levels and bone scan results.

CONCLUSION

We report for the first time a case of scrub typhus complicated with both myocarditis and rhabdomyolysis, the causative agent of which was the Boryong genotype of O. tsutsugamushi.

Authors+Show Affiliations

Departments of Internal Medicine, College of Medicine, Chosun University, 588 Seosuk-dong, Dong-gu, Gwangju, 61453, Republic of Korea.Departments of Internal Medicine, College of Medicine, Chosun University, 588 Seosuk-dong, Dong-gu, Gwangju, 61453, Republic of Korea. drongkim@chosun.ac.kr.Departments of Internal Medicine, College of Medicine, Chosun University, 588 Seosuk-dong, Dong-gu, Gwangju, 61453, Republic of Korea.Departments of Internal Medicine, College of Medicine, Chosun University, 588 Seosuk-dong, Dong-gu, Gwangju, 61453, Republic of Korea.Premedical Science, College of Medicine, Chosun University, Gwangju, Republic of Korea.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30404620

Citation

Ki, Young-Jae, et al. "A Case Report of Scrub Typhus Complicated With Myocarditis and Rhabdomyolysis." BMC Infectious Diseases, vol. 18, no. 1, 2018, p. 551.
Ki YJ, Kim DM, Yoon NR, et al. A case report of scrub typhus complicated with myocarditis and rhabdomyolysis. BMC Infect Dis. 2018;18(1):551.
Ki, Y. J., Kim, D. M., Yoon, N. R., Kim, S. S., & Kim, C. M. (2018). A case report of scrub typhus complicated with myocarditis and rhabdomyolysis. BMC Infectious Diseases, 18(1), 551. https://doi.org/10.1186/s12879-018-3458-1
Ki YJ, et al. A Case Report of Scrub Typhus Complicated With Myocarditis and Rhabdomyolysis. BMC Infect Dis. 2018 Nov 7;18(1):551. PubMed PMID: 30404620.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A case report of scrub typhus complicated with myocarditis and rhabdomyolysis. AU - Ki,Young-Jae, AU - Kim,Dong-Min, AU - Yoon,Na-Ra, AU - Kim,Sung-Soo, AU - Kim,Choon-Mee, Y1 - 2018/11/07/ PY - 2018/06/21/received PY - 2018/10/23/accepted PY - 2018/11/9/entrez PY - 2018/11/9/pubmed PY - 2019/1/3/medline KW - Myocarditis KW - Rhabdomyolysis KW - Scrub typhus SP - 551 EP - 551 JF - BMC infectious diseases JO - BMC Infect Dis VL - 18 IS - 1 N2 - BACKGROUND: Scrub typhus is a zoonotic disease caused by Orientia tsutsugamushi, a gram-negative intracellular bacterium. Myocarditis and rhabdomyolysis are rare complications of scrub typhus. CASE PRESENTATION: We report a case of scrub typhus, which was simultaneously complicated with myocarditis and rhabdomyolysis. A 54-year-old woman presented to our hospital with myalgia in the upper and lower limbs, oedema and a fever of 7 days' duration. We confirmed the diagnosis of scrub typhus complicated with myocarditis by pericardial fluid analysis and cardiac magnetic resonance imaging results. The pericardial fluid showed characteristics of an exudate, an elevated immunofluorescence assay (IFA) IgG titer of 1:2048 and a positive 16S rRNA qPCR result. We also diagnosed rhabdomyolysis by the patient's presenting symptoms, elevated muscle enzyme levels and bone scan results. CONCLUSION: We report for the first time a case of scrub typhus complicated with both myocarditis and rhabdomyolysis, the causative agent of which was the Boryong genotype of O. tsutsugamushi. SN - 1471-2334 UR - https://www.unboundmedicine.com/medline/citation/30404620/A_case_report_of_scrub_typhus_complicated_with_myocarditis_and_rhabdomyolysis_ L2 - https://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-018-3458-1 DB - PRIME DP - Unbound Medicine ER -