21st European Congress of Clinical Microbiology and Infectious Diseases

A case of fulminant myocarditis complicating scrub typhus in Korea

Abstract number: R2539

Ryu S., Kwon K., Choi E.

Scrub typhus, which is caused by Orientia tsutsugamushi, is an acute febrile illness characterized by fever, rash, and myalgia. Severe complications are very rare. Recently, cases of scrub typhus with severe complications, such as acute respiratory distress syndrome, septic shock, acute renal failure, myocarditis and meningitis have been increasingly reported. Fulminant myocarditis is characterized by critical illness at presentation. However, if affected patients recover with pharmacologic therapy and mechanical circulatory support, they may have a better long-term prognosis than patients with other forms of myocarditis. An adult patient with scrub typhus presented with normal EKG on admission and no hypotensive period, subsequently developed chest pain on 6 th hospital day. T inversion of EKG and diffuse ventricular dyskinesia of echocardiography appeared on 6th hospital day. We report a cases of acute fulminant myocarditis in adult with scrub typhus. This complication led to severe cardiogenic shock and death.