Cardiac Complications of Scrub Typhus With Special Reference to Electrocardiography - A Twelve Weeks Follow Up In Two Tertiary Pediatric Hospital of Eastern India
Journal Title: Journal Of Pediatric Critical Care - Year 2018, Vol 5, Issue 6
Abstract
Introduction: Scrub typhus is a rickettsial disease grossly underdiagnosed in India due to lack of easily available diagnostic test. Due to delay in the diagnosis and initiation of treatment mortality is 30%.No pediatric study highlighted the cardiac complication. Objective: To study the cardiac complication of scrub typhus and electrocardiographic changes. Method: All scrub typhus fever between age group 5 yrs to 15 yrs who were admitted with high fever at two tertiary pediatric referral hospital of eastern India were evaluated for cardiac complications. Those with cardiac involvement were subjected to electrocardiography at admission, two, six and twelve weeks. Result: Eleven out of forty three cases showed features of myocarditis requiring vasopressor and fi ve cases showed long QT without progress to ventricular tachycardia. Conclusion: Scrub typhus is a multisystem disease with a mortality upto 30% , cardiac complication is serious and observed in 26% of cases. Key words: Scrub typus, Cardiac, Complication, Electrocardiography.
Authors and Affiliations
Joydeep Das, Devyani De
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