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首页> 外文期刊>Lung India >Scrub typhus infection presenting as acute heart failure: A case report and systematic review of literature of cardiopulmonary involvement in scrub typhus infection
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Scrub typhus infection presenting as acute heart failure: A case report and systematic review of literature of cardiopulmonary involvement in scrub typhus infection

机译：呈现为急性心力衰竭的斑疹伤寒感染：一例病例报道和有关斑疹伤寒感染心肺相关文献的系统评价

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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.
机译：我们描述了一名中年前健康女性患者，该患者表现出提示急性心力衰竭的临床特征。调查显示NT前BNP很高，右心增大，双侧肺泡水肿和双侧胸腔积液。考虑到血小板计数下降和渗出性胸腔积液是炎性/感染性原因。她的威尔·费利克斯（Weil Felix）测试呈强阳性，用于擦洗斑疹的IgM也呈阳性。她开始服用多西环素后有了很大的进步。因此，在这种情况下，斑疹伤寒感染表现为急性右心衰竭，起初似乎难以捉摸。我们还系统地回顾了有关斑疹伤寒感染心肺表现的现有文献。

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