Cargando…
Scrub typhus infection presenting as acute heart failure: A case report and systematic review of literature of cardiopulmonary involvement in scrub typhus infection
We describe a middle aged previoulsy healthy female patient who presented with clinical features suggestive of acute heart failure. Investigations revealed very high NT pro-BNP, right heart enlargement, bilateral pulmonary alveolar edema and bilateral pleural effusion. In view of falling platelet co...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4948236/ https://www.ncbi.nlm.nih.gov/pubmed/27578941 http://dx.doi.org/10.4103/0970-2113.184923 |
_version_ | 1782443298682568704 |
---|---|
author | Ray, Animesh Nangia, Vivek Chatterji, RS Dalal, Navin |
author_facet | Ray, Animesh Nangia, Vivek Chatterji, RS Dalal, Navin |
author_sort | Ray, Animesh |
collection | PubMed |
description | We describe a middle aged previoulsy healthy female patient who presented with clinical features suggestive of acute heart failure. Investigations revealed very high NT pro-BNP, right heart enlargement, bilateral pulmonary alveolar edema and bilateral pleural effusion. In view of falling platelet counts and exudative pleural effusion inflammatory/infective causes were considered. Her Weil Felix test was strongly positive and IgM for scrub typhus also returned positive. She was started on doxycycline to which there was dramatic improvement. Thus in this case scrub typhus infection presented as acute right heart failure and the cause seemed elusive at the outset. We also systematically reviewed the existing literature on cardio-pulmonary manifestations of scrub typhus infection. |
format | Online Article Text |
id | pubmed-4948236 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-49482362016-08-30 Scrub typhus infection presenting as acute heart failure: A case report and systematic review of literature of cardiopulmonary involvement in scrub typhus infection Ray, Animesh Nangia, Vivek Chatterji, RS Dalal, Navin Lung India Case Report We describe a middle aged previoulsy healthy female patient who presented with clinical features suggestive of acute heart failure. Investigations revealed very high NT pro-BNP, right heart enlargement, bilateral pulmonary alveolar edema and bilateral pleural effusion. In view of falling platelet counts and exudative pleural effusion inflammatory/infective causes were considered. Her Weil Felix test was strongly positive and IgM for scrub typhus also returned positive. She was started on doxycycline to which there was dramatic improvement. Thus in this case scrub typhus infection presented as acute right heart failure and the cause seemed elusive at the outset. We also systematically reviewed the existing literature on cardio-pulmonary manifestations of scrub typhus infection. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4948236/ /pubmed/27578941 http://dx.doi.org/10.4103/0970-2113.184923 Text en Copyright: © Indian Chest Society http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Ray, Animesh Nangia, Vivek Chatterji, RS Dalal, Navin Scrub typhus infection presenting as acute heart failure: A case report and systematic review of literature of cardiopulmonary involvement in scrub typhus infection |
title | Scrub typhus infection presenting as acute heart failure: A case report and systematic review of literature of cardiopulmonary involvement in scrub typhus infection |
title_full | Scrub typhus infection presenting as acute heart failure: A case report and systematic review of literature of cardiopulmonary involvement in scrub typhus infection |
title_fullStr | Scrub typhus infection presenting as acute heart failure: A case report and systematic review of literature of cardiopulmonary involvement in scrub typhus infection |
title_full_unstemmed | Scrub typhus infection presenting as acute heart failure: A case report and systematic review of literature of cardiopulmonary involvement in scrub typhus infection |
title_short | Scrub typhus infection presenting as acute heart failure: A case report and systematic review of literature of cardiopulmonary involvement in scrub typhus infection |
title_sort | scrub typhus infection presenting as acute heart failure: a case report and systematic review of literature of cardiopulmonary involvement in scrub typhus infection |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4948236/ https://www.ncbi.nlm.nih.gov/pubmed/27578941 http://dx.doi.org/10.4103/0970-2113.184923 |
work_keys_str_mv | AT rayanimesh scrubtyphusinfectionpresentingasacuteheartfailureacasereportandsystematicreviewofliteratureofcardiopulmonaryinvolvementinscrubtyphusinfection AT nangiavivek scrubtyphusinfectionpresentingasacuteheartfailureacasereportandsystematicreviewofliteratureofcardiopulmonaryinvolvementinscrubtyphusinfection AT chatterjirs scrubtyphusinfectionpresentingasacuteheartfailureacasereportandsystematicreviewofliteratureofcardiopulmonaryinvolvementinscrubtyphusinfection AT dalalnavin scrubtyphusinfectionpresentingasacuteheartfailureacasereportandsystematicreviewofliteratureofcardiopulmonaryinvolvementinscrubtyphusinfection |