Korean J Med.
2014 Mar;86(3):298-300. 10.3904/kjm.2014.86.3.298.
A Review of Electrocardiography Changes and Clinical Manifestations in Scrub Typhus in a Single Center
- Affiliations
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- 1Department of Internal Medicine, Chosun University School of Medicine, Gwangju, Korea. drongkim@chosun.ac.kr
- KMID: 1867358
- DOI: http://doi.org/10.3904/kjm.2014.86.3.298
Abstract
- The mechanism of electrocardiography (ECG) changes in patients with scrub typhus is still not clear. Orientia tsutsugamushi causes vasculitis in scrub typhus patients, which result in non-specific damage to the heart. However, serious damage to myofibril of the heart is not accompanied. Thus, chronic cardiac sequelae are rare. In addition to myocarditis, a variety of cardiac complications such as myocardial infarction, pericarditis have been reported. Additional research is needed to clarify the main mechanisms that cause changes in the ECG in scrub typhus whether it comes from electrolyte imbalance, fever or cardiac injury such as myocarditis.
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