Himeji Daisuke, Nasu Shota, Tanaka Gen-Ichi, Masuda Kouchi, Matsuura Ryota
Department of Internal Medicine, Miyazaki Prefectural Miyazaki Hospital, Miyazaki, JPN.
Department of Psychiatry, Miyazaki Prefectural Miyazaki Hospital, Miyazaki, JPN.
Cureus. 2021 Sep 30;13(9):e18408. doi: 10.7759/cureus.18408. eCollection 2021 Sep.
A 67-year-old man with high-grade fever and systemic erythema visited our hospital. Based on his symptoms and history of outdoor activities, we considered the possibility of rickettsial diseases, especially Japanese spotted fever (JSF). He was treated with antibiotics. After hospitalization, the patient complained of palpitations, and electrocardiography revealed ventricular tachycardia (VT). He was successfully treated with electrical defibrillation. Moreover, echocardiography showed decreased wall motion at the apex. However, coronary angiography showed no coronary artery-related stenosis. JSF was confirmed via polymerase chain reaction using a biopsy sample of the erythema. Subsequently, the patient was discharged without complications. To our knowledge, this is the first reported case of JSF complicated with VT and acute cardiac damage.
一名67岁的男性因高热和全身性红斑前来我院就诊。根据他的症状和户外活动史，我们考虑了立克次体病的可能性，尤其是日本斑点热（JSF）。他接受了抗生素治疗。住院后，患者主诉心悸，心电图显示室性心动过速（VT）。他通过电除颤成功治愈。此外，超声心动图显示心尖部壁运动减弱。然而，冠状动脉造影显示没有冠状动脉相关狭窄。通过使用红斑活检样本进行聚合酶链反应确诊为JSF。随后，患者无并发症出院。据我们所知，这是首例报道的JSF并发VT和急性心脏损伤的病例。
