Case Report: Fulminant Myocarditis Successfully Treated With Extracorporeal Membrane Oxygenation in Ikeda Strain Orientia tsutsugamushi Infection

被引：2
|
作者：
Park, Hyejin [1 ]
Lim, Yongwhan [2 ]
Kim, Min Chul [2 ]
Kim, Seong Eun [3 ]
Jeong, In-Seok [4 ]
Choi, Yoo Duk [5 ]
Kim, Dong-Min [6 ]
机构：
[1] Chonnam Natl Univ Med Hosp, Chonnam Natl Univ Med Sch, Dept Internal Med, Gwangju, South Korea
[2] Chonnam Natl Univ Med Hosp, Chonnam Natl Univ Med Sch, Dept Cardiovasc Med, Gwangju, South Korea
[3] Chonnam Natl Univ Med Hosp, Chonnam Natl Univ Med Sch, Div Infect Dis, Dept Internal Med, Gwangju, South Korea
[4] Chonnam Natl Univ Med Hosp, Chonnam Natl Univ Med Sch, Dept Cardiothorac Surg, Gwangju, South Korea
[5] Chonnam Natl Univ Med Sch, Dept Pathol, Gwangju, South Korea
[6] Chosun Univ, Dept Internal Med, Coll Med, Gwangju, South Korea
来源：
FRONTIERS IN CARDIOVASCULAR MEDICINE | 2021年 / 8卷
关键词：
fulminant myocarditis; scrub typhus; Orientia tsutsugamushi; extracorporeal membrane oxygenation; case report; RICKETTSIA;
D O I：
10.3389/fcvm.2021.795249
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Scrub typhus is an acute zoonotic febrile illness caused by Orientia tsutsugamushi having a specific geographic endemic area. This infection could be complicated with multi-organ involvement including myocarditis with variable severity. Here, we report a rare case of scrub typhus with biopsy-proven acute fulminant myocarditis which progressed very rapidly to cardiac arrest and was treated successfully with extracorporeal cardiopulmonary resuscitation. Clinicians should be alert to possible rapid progression of scrub typhus myocarditis to fulminant form and be prepared for close monitoring and temporary mechanical support if indicated.
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页数：7
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