Key result
Multimodal support with PCPS and CRRT enables recovery in fulminant scrub typhus myocarditis.
Why the study?
Severe complications such as acute fulminant myocarditis caused by scrub typhus are rare and reports of recovery from such cases are few.
Case Report (n=1)
Acute fulminant myocarditis caused by scrub typhus can be successfully treated with aggressive supportive care including percutaneous cardiopulmonary support.
May support aggressive supportive care including PCPS in scrub typhus myocarditis; leaves open need for prospective validation.
Scrub typhus, caused by Orientia tsutsugamushi, is an acute febrile illness. Characteristics of tsutsugamushi disease are fever, rash and eschar. However, severe complications might rarely occur, such as acute fulminant myocarditis caused by scrub typhus. Thus, there are few reports of recovery from seriously complicated cases. We report on an adult male with scrub typhus complicated with acute fulminant myocarditis with no previous comorbid illness who recovered successfully with proper treatment including antibiotics, ventilator support, percutaneous cardiopulmonary support, and continuous renal replacement therapy.
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Jung et al. (2016) conducted a case report in Scrub typhus complicated with acute fulminant myocarditis (n=1). Antibiotics, ventilator support, percutaneous cardiopulmonary support, and continuous renal replacement therapy was evaluated on Recovery. An adult male with scrub typhus complicated by acute fulminant myocarditis successfully recovered following treatment with antibiotics, ventilator support, PCPS, and CRRT.
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