Park Hyejin, Lim Yongwhan, Kim Min Chul, Kim Seong Eun, Jeong In-Seok, Choi Yoo Duk, Kim Dong-Min
Department of Internal Medicine, Chonnam National University Medical School, Chonnam National University Medical Hospital, Gwangju, South Korea.
Department of Cardiovascular Medicine, Chonnam National University Medical School, Chonnam National University Medical Hospital, Gwangju, South Korea.
Front Cardiovasc Med. 2021 Dec 22;8:795249. doi: 10.3389/fcvm.2021.795249. eCollection 2021.
Scrub typhus is an acute zoonotic febrile illness caused by 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.
恙虫病是一种由特定地理流行区域引起的急性人畜共患发热性疾病。这种感染可能并发多器官受累，包括严重程度不一的心肌炎。在此，我们报告一例罕见的恙虫病病例，经活检证实为急性暴发性心肌炎，病情迅速发展至心脏骤停，经体外心肺复苏成功救治。临床医生应警惕恙虫病心肌炎可能迅速进展为暴发性形式，并在必要时做好密切监测和临时机械支持的准备。
