Delayed-Onset Complete Atrioventricular Block in a Patient with Murine Typhus Myocarditis / 대한내과학회지
Korean Journal of Medicine
; : 723-727, 2013.
Article
em Ko
| WPRIM
| ID: wpr-35129
Biblioteca responsável:
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.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Rickettsia typhi
/
Síncope
/
Nações Unidas
/
Bloqueio de Ramo
/
Tifo Endêmico Transmitido por Pulgas
/
Imageamento por Ressonância Magnética
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Convalescença
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Doenças Transmissíveis
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Doxiciclina
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Troponina I
Limite:
Female
/
Humans
Idioma:
Ko
Revista:
Korean Journal of Medicine
Ano de publicação:
2013
Tipo de documento:
Article