Korean J Med > Volume 86(3); 2014 > Article
The Korean Journal of Medicine 2014;86(3):298-300.
Published online March 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.86.3.298   
A Review of Electrocardiography Changes and Clinical Manifestations in Scrub Typhus in a Single Center
Soon-pyo Hong, Dong-Min Kim
Department of Internal Medicine, Chosun University School of Medicine, Gwangju, Korea
쯔쯔가무시 환자에서의 심전도 변화 및 임상 양상에 대한 고찰
홍순표, 김동민
조선대학교 의학전문대학원 내과학교실
Correspondence: 
Dong-Min Kim, Tel: +82-62-220-3108, Fax: +82-62-234-9653, Email: drongkim@chosun.ac.kr
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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. (Korean J Med 2014;86:298-300)
Key Words: Scrub typhus; Orientia tsutsugamushi; Electrocardiography
주제어: 쯔쯔가무시병; Orientia tsutsugamushi; 심전도 변화


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