title: Scrub typhus infection presenting as acute heart failure: A case report and systematic review of literature of cardiopulmonary involvement in scrub typhus infection.
abstract: 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.
authors: Department of Pulmonary Critical Care and Sleep Medicine, Fortis Flt Lt Rajan Dhall Hospital, New Delhi, India.
authors: Animesh
authors: A
authors: Ray
authors: Department of Pulmonary Critical Care and Sleep Medicine, Fortis Flt Lt Rajan Dhall Hospital, New Delhi, India.
authors: Vivek
authors: V
authors: Nangia
authors: Department of Pulmonary Critical Care and Sleep Medicine, Fortis Flt Lt Rajan Dhall Hospital, New Delhi, India.
authors: R S
authors: RS
authors: Chatterji
authors: Department of Pulmonary Critical Care and Sleep Medicine, Fortis Flt Lt Rajan Dhall Hospital, New Delhi, India.
authors: Navin
authors: N
authors: Dalal
keywords: Acute corpulmonale; acute heart failure; afebrile; scrub typhus