AUTHOR=Park Hyejin , Lim Yongwhan , Kim Min Chul , Kim Seong Eun , Jeong In-Seok , Choi Yoo Duk , Kim Dong-Min 

TITLE=Case Report: Fulminant Myocarditis Successfully Treated With Extracorporeal Membrane Oxygenation in Ikeda Strain Orientia tsutsugamushi Infection

JOURNAL=Frontiers in Cardiovascular Medicine

VOLUME=8

YEAR=2021

URL=https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2021.795249

DOI=10.3389/fcvm.2021.795249

ISSN=2297-055X

ABSTRACT=<p>Scrub typhus is an acute zoonotic febrile illness caused by <italic>Orientia tsutsugamushi</italic> having a specific geographic endemic area. This infection could be complicated with multi-organ involvement including myocarditis with variable severity. Here, we report a rare case of scrub typhus with biopsy-proven acute fulminant myocarditis which progressed very rapidly to cardiac arrest and was treated successfully with extracorporeal cardiopulmonary resuscitation. Clinicians should be alert to possible rapid progression of scrub typhus myocarditis to fulminant form and be prepared for close monitoring and temporary mechanical support if indicated.</p>