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- Title
Spotted fever rickettsioses causing myocarditis and ARDS: a case from Sri Lanka.
- Authors
Herath, H. M. L. Y.; Jayasundara, J. M. H. D.; Senadhira, S. D. N.; Kularatne, S. A. M.; Kularatne, W. K. S.
- Abstract
<bold>Background: </bold>Spotted fever group of rickettsial infections are emerging in Sri Lanka. We describe a patient with rapidly progressing ARDS and myocarditis secondary to spotted fever caused by Rickettsia conorii. ARDS and myocarditis are rare complications of Rickettsia conorii infections and only a few cases are reported to date.<bold>Case Presentation: </bold>A 53 years old manual worker presented with fever for 5 days and a skin rash. He was in circulatory failure on admission and developed severe hypoxaemia with gross changes in chest radiograph by next day requiring assisted ventilation. He had myocarditis causing left ventricular failure and acute respiratory distress syndrome. He was confirmed to have spotted fever rickettsial infection with rising titre of indirect immunofluorescence antibodies to Ricketssia conorii and made a complete recovery with appropriate antibiotic therapy and supportive care.<bold>Conclusion: </bold>Rickettsial infections can present with diverse manifestations. Even the patients with severe organ involvements such as myocarditis and ARDS can be completely cured if timely identified and treated.
- Subjects
SRI Lanka; ADULT respiratory distress syndrome treatment; MYOCARDITIS; RICKETTSIA conorii; ROCKY Mountain spotted fever tick; TREATMENT effectiveness; MEDICAL care; DIAGNOSIS of fever; RICKETTSIAL disease diagnosis; CHEST X rays; FEVER; CARDIOMYOPATHIES; ADULT respiratory distress syndrome; RICKETTSIA; RICKETTSIAL diseases; DISEASE complications; DIAGNOSIS
- Publication
BMC Infectious Diseases, 2018, Vol 18, Issue 1, pN.PAG
- ISSN
1471-2334
- Publication type
journal article
- DOI
10.1186/s12879-018-3631-6