Delayed-Onset Complete Atrioventricular Block in a Patient with Murine Typhus Myocarditis / 대한내과학회지
Korean Journal of Medicine
; : 723-727, 2013.
Article
Dans Ko
| WPRIM
| ID: wpr-35129
Responsable en Bibliothèque :
WPRO
ABSTRACT
Murine typhus is a flea-borne infectious disease caused by Rickettsia typhi, of which myocarditis is a rare complication in the acute disseminating phase. A 62-year-old female presented with a fever and was diagnosed with murine typhus. She was treated with doxycycline and discharged after complete resolution of the fever. However, recurrent presyncope and exertional dyspnea developed 6-8 weeks later. Complete atrioventricular (AV) block with a wide QRS escape rhythm and a left bundle branch block configuration was documented. Subacute myocarditis was diagnosed based on persistent cardiac troponin-I elevation and typical cardiac magnetic resonance imaging findings. A permanent pacemaker was implanted for symptomatic complete AV block. Few reports of myocarditis in murine typhus have been published. We report a case of murine typhus myocarditis complicated by complete AV block in the late convalescence phase.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Rickettsia typhi
/
Syncope
/
Nations Unies
/
Bloc de branche
/
Typhus murin
/
Imagerie par résonance magnétique
/
Convalescence
/
Maladies transmissibles
/
Doxycycline
/
Troponine I
Limites du sujet:
Female
/
Humans
langue:
Ko
Texte intégral:
Korean Journal of Medicine
Année:
2013
Type:
Article