Japanese Spotted Fever Complicated With Life-Threatening Ventricular Tachycardia and Acute Cardiac Damage

A 67-year-old man with high-grade fever and systemic erythema visited our hospital. Based on his symptoms and history of outdoor activities, we considered the possibility of rickettsial diseases, especially Japanese spotted fever (JSF). He was treated with antibiotics. After hospitalization, the pat...

Full description

Saved in:
Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2021-09, Vol.13 (9)
Main Authors: Himeji, Daisuke, Nasu, Shota, Tanaka, Gen-ichi, Masuda, Kouchi, Matsuura, Ryota
Format: Article
Language:English
Subjects:
Antibiotics
Blood pressure
Cardiac arrhythmia
Cardiology
Cardiomyopathy
Cardiovascular disease
Case reports
Chemotherapy
Coronary vessels
Cytokine storm
Electrocardiography
Erythema
Fatalities
Fever
Hospitalization
Hospitals
Infections
Infectious Disease
Internal Medicine
Medical imaging
Public health
Scintigraphy
Ultrasonic imaging
Veins & arteries
Vital signs
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A 67-year-old man with high-grade fever and systemic erythema visited our hospital. Based on his symptoms and history of outdoor activities, we considered the possibility of rickettsial diseases, especially Japanese spotted fever (JSF). He was treated with antibiotics. After hospitalization, the patient complained of palpitations, and electrocardiography revealed ventricular tachycardia (VT). He was successfully treated with electrical defibrillation. Moreover, echocardiography showed decreased wall motion at the apex. However, coronary angiography showed no coronary artery-related stenosis. JSF was confirmed via polymerase chain reaction using a biopsy sample of the erythema. Subsequently, the patient was discharged without complications. To our knowledge, this is the first reported case of JSF complicated with VT and acute cardiac damage.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.18408