Key result
Scrub typhus infection in metropolitan areas can present with severe complications such as myocarditis and cardiac tamponade, which was fatal in one of the two reported cases.
Why the study?
Life-threatening cardiac complications of scrub typhus are very infrequent, and scrub typhus has been rarely reported among workers assembling pallets using manufactured wood in metropolitan areas.
Case Report (n=2)
Scrub typhus infection can present as an environmental hazard in metropolitan areas with severe cardiac complications such as myocarditis and cardiac tamponade.
Warrants vigilance for myocarditis and tamponade in scrub typhus; leaves open optimal management in severe cases.
Scrub typhus is known as one of the most common seasonal infections in endemic rural areas, but life-threatening cardiac complications in cases of scrub typhus are very infrequent. In addition, scrub typhus infection has been rarely reported among workers assembling pallets using manufactured wood in metropolitan areas. Herein, we present two cases involving myocarditis and cardiac tamponade as complications of scrub typhus. One patient died and the other patient survived. These cases indicate that scrub typhus infection could be an environmental hazard in metropolitan areas, especially in locations with poor hygiene, and highlight the need for timely diagnosis and proper management of severe scrub typhus infections. Therefore, we present these two informative fatal cases of scrub typhus infection presenting with myocarditis and cardiac tamponade as an environmental hazard in metropolitan areas.
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Kang et al. (2023) conducted a case report in Scrub typhus with acute myocarditis and cardiac tamponade (n=2). Scrub typhus infection was evaluated on Clinical outcome (survival/death). Scrub typhus infection in metropolitan areas can present with severe complications such as myocarditis and cardiac tamponade, which was fatal in one of the two reported cases.
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