Tsutsugamushi Myocarditis With Congestive Heart Failure and Persistent Atrial Standstill
スポンサーリンク
概要
- 論文の詳細を見る
Acute infectious myocarditis is primarily by viruses and bacteria, but sometimes by rickettsia. Tsutsugamushi disease is a febrile illness caused by Rickettsia tsutsugamushi, and has been prevalent in Korea since 1985. Characteristics of tsutsugamushi disease are fever, rash and eschar. Tsutsugamushi myocarditis is rare. Cardiac involvement may include ST-T changes, PR prolongation, mild mitral regurgitation, and perivascular inflammation with maocardial necrosis. We describe here a 50-year-old woman who complained of fever, orthopnea and chest pain. Work-up of the patient revealed abdominal scar, positive tsutsugamushi antibody, congestive heart failure with severe mitral and tricuspid regurgitation, persistent atrial standstill on electrophysiologic study, junctional rhythm and ST-T changes mimicking anterior myocardial infarction and myocardial inflammation with perivasculitis on endomyocardial biopsy. The patient's condition improved with doxycycline and inotropics. Tersistent atrial standstill suring was found at the one-year follow-up.
- 社団法人日本循環器学会の論文
- 1996-05-20
著者
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JEONG Myung
Department of Internal Medicine, Chonnam National University Hospital
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AHN Young
Department of Internal Medicine, Chonnam National University Hospital
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CHO Jeong
Department of Internal Medicine, Chonnam National University Hospital
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PARK Jong
Department of Internal Medicine, Chonnam National University Hospital
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KANG Jung
Department of Internal Medicine, Chonnam National University Hospital
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CHO Jeong
The Heart Center of Chonnam National University Hospital
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Park Joo
Department of Internal Medicine, Chonnam University Medical School
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Park Joo
Division of Cardiology, Department of Internal Medicine, Chonnam University Hospital
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Kang Jung
Division Of Cardiology Chonbuk National University Hospital
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Park Joo
Division Of Cardiology Department Of Internal Medicine Chonnam University Hospital
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Gill Gwang
Department of Internal Medicine, Chonnam University Medical School
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GILL Gwang
Division of Cardiology Chonnam University Hospital
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Park Joo
Department Of Biology College Of Natural Sciences Changwon National University
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Ahn Young
Department Of Biological Sciences Virginia Polytechnic Institute And State University
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Park Jong
Department Mathematics Pusan National University
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Kang Jung
Department Of Clinical Pathology Hanyang University Kuri Hospital
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Jeong Myung
Department Of Cardiovascular Medicine Chonnam National University Medical School
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Jeong Myung
Department of Cardiology, Cardiovascular Center, Clinical Trial Center, Chonnam National University Hospital
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Cho Jeong
Department of Cardiology, Cardiovascular Center, Clinical Trial Center, Chonnam National University Hospital
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Kang Jung
Department of Cardiology, Cardiovascular Center, Clinical Trial Center, Chonnam National University Hospital
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