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Afebrile scrub typhus infection with cardiac manifestation.
BMJ Case Rep. 2021 Apr 13; 14(4)BC

Abstract

Scrub typhus is an acute febrile disease transmitted via bites from mite larvae (chigger) infected with Orientia tsutsugamushi. Arrhythmias, ischaemic changes and QT prolongation are some of the observed ECG abnormalities. The patient being reported presented with angina and was found to have sinus bradycardia with ST elevation in inferior leads and T wave inversion in lateral leads. His coronary angiography was normal. Further evaluation leads to the diagnosis of scrub typhus infection. Following doxycycline therapy, his ECG became normal. Afebrile scrub typhus infection with cardiac manifestation is an uncommon scenario.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Manappallil RG
Internal Medicine, Baby Memorial Hospital, Calicut, Kerala, India drrobingeorgempl@gmail.com.
Nambiar J
Cardiology, Baby Memorial Hospital, Calicut, Kerala, India.
Anil R
Internal Medicine, Baby Memorial Hospital, Calicut, Kerala, India.

MeSH

AnimalsDoxycyclineHumansLong QT SyndromeOrientia tsutsugamushiScrub TyphusTrombiculidae

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33849868

Citation

Manappallil, Robin George, et al. "Afebrile Scrub Typhus Infection With Cardiac Manifestation." BMJ Case Reports, vol. 14, no. 4, 2021.
Manappallil RG, Nambiar J, Anil R. Afebrile scrub typhus infection with cardiac manifestation. BMJ Case Rep. 2021;14(4).
Manappallil, R. G., Nambiar, J., & Anil, R. (2021). Afebrile scrub typhus infection with cardiac manifestation. BMJ Case Reports, 14(4). https://doi.org/10.1136/bcr-2020-240223
Manappallil RG, Nambiar J, Anil R. Afebrile Scrub Typhus Infection With Cardiac Manifestation. BMJ Case Rep. 2021 Apr 13;14(4) PubMed PMID: 33849868.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Afebrile scrub typhus infection with cardiac manifestation. AU - Manappallil,Robin George, AU - Nambiar,Jayasree, AU - Anil,Revathy, Y1 - 2021/04/13/ PY - 2023/04/13/pmc-release PY - 2021/4/14/entrez PY - 2021/4/15/pubmed PY - 2021/5/15/medline KW - arrhythmias KW - tropical medicine (infectious disease) JF - BMJ case reports JO - BMJ Case Rep VL - 14 IS - 4 N2 - Scrub typhus is an acute febrile disease transmitted via bites from mite larvae (chigger) infected with Orientia tsutsugamushi. Arrhythmias, ischaemic changes and QT prolongation are some of the observed ECG abnormalities. The patient being reported presented with angina and was found to have sinus bradycardia with ST elevation in inferior leads and T wave inversion in lateral leads. His coronary angiography was normal. Further evaluation leads to the diagnosis of scrub typhus infection. Following doxycycline therapy, his ECG became normal. Afebrile scrub typhus infection with cardiac manifestation is an uncommon scenario. SN - 1757-790X UR - https://www.unboundmedicine.com/medline/citation/33849868/Afebrile_scrub_typhus_infection_with_cardiac_manifestation_ DB - PRIME DP - Unbound Medicine ER -