Gupta Samiksha, Jesrani Gautam, Gaba Saurabh, Gupta Monica
Department of General Medicine, Government Medical College and Hospital, Chandigarh, India.
Turk J Emerg Med. 2022 Jan 20;22(1):47-50. doi: 10.4103/2452-2473.336103. eCollection 2022 Jan-Mar.
Scrub typhus (ST) has wide organ system involvement, but cardiac involvement is paramount in this spectrum due to early hemodynamic compromise. Various forms of cardiac involvement have been described in the literature, but we are describing rare electrocardiographic changes in the ST infection. A young male presented in our emergency department with complaints of restlessness and vomiting of 2 days' duration. The patient was having stable vitals on presentation, but his electrocardiogram (ECG) demonstrated second-degree atrioventricular block type 1 (also known Mobitz 1) and Osborn wave in the precordial leads. Further, he was having thrombocytopenia and eventually diagnosed with ST. For this, appropriate antibiotic treatment was given, which led to considerable symptomatic improvement and reversal of the ECG changes.
恙虫病（ST）可累及多个器官系统，但由于早期血流动力学受损，心脏受累在其中最为关键。文献中已描述了多种心脏受累形式，但我们在此描述的是ST感染中罕见的心电图变化。一名年轻男性因持续2天的烦躁不安和呕吐症状前来我院急诊科就诊。患者就诊时生命体征稳定，但其心电图显示一度房室传导阻滞（又称莫氏I型）及胸前导联出现奥斯本波。此外，他还存在血小板减少症，最终被诊断为ST。针对此情况，给予了适当的抗生素治疗，症状得到了显著改善，心电图变化也得以逆转。
