title: Review of a case of tsutsugamushi disease showing myocarditis and confirmation of Rickettsia by endomyocardial biopsy.
abstract: A patient suffering from tsutsugamushi disease underwent endomyocardial biopsy for the purpose of diagnosis of myocarditis. Proliferation of Rickettsia tsutsugamushi was observed in the vascular endothelial cells of the myocardium. There have been no reports describing the identification of Rickettsia tsutsugamushi endomyocardial biopsy. This report indicates that endomyocardial biopsy may be a useful adjunct to the clarification of myocardial involvement of Rickettsia tsutsugamushi.
authors.affiliation: Second Department of Internal Medicine, Kyorin University School of Medicine, Tokyo, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Yotsukura
authors.forename: N
authors.initials: N
authors.lastname: Aoki
authors.forename: N
authors.initials: N
authors.lastname: Fukuzumi
authors.forename: K
authors.initials: K
authors.lastname: Ishikawa
mesh_terms: D000328:Adult; D001706:Biopsy; D004699:Endocardium / Q000473:pathology; D004730:Endothelium, Vascular / Q000382:microbiology / Q000473:pathology; D006321:Heart / Q000382:microbiology*; D006801:Humans; D008297:Male; D009205:Myocarditis / Q000382:microbiology* / Q000473:pathology; D009206:Myocardium / Q000473:pathology*; D012285:Orientia tsutsugamushi / Q000302:isolation & purification*; D012612:Scrub Typhus / Q000382:microbiology* / Q000473:pathology