Abstract

Background: Jhalawar is an endemic area for scrub typhus.Scrub typhus presents as an acute,febrile,exanthematous illness.If not treated early,it can lead to life threatening complications,affecting various systems of the body.Hence,this study was done with an objective to study the cardiovascular abnormalities in patients of severe scrub typhus. Methods: We conducted a hospital-based study in the Department of Medicine, of a tertiary care hospital in jhalawar medical college in patients of severe scrub typhus from July 2021 to November 2021. Results: Echocardiographic changes included tricuspid regurgitation in 8(16.66%), pericardial effusion in 5(10.41%), myocarditis in 11(22.91%) and Regional wall motion abnormality in 4(8.33%). Left ventricular ejection fraction >45% in 38 (79.16%) and <45% in 10(20.83%). Conclusions: Severe scrub typhus manifested with tricuspid regurgitation, myocarditis, pericardial effusion and Regional wall motion abnormality.

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