REVIEW OF A CASE OF TSUTSUGAMUSHI DISEASE SHOWING MYOCARDITIS AND CONFIRMATION OF RICKETTSIA BY ENDOMYOCARDIAL BIOPSY

  • YOTSUKURA MASAYUKI
    Second Department of Internal Medicine, Kyorin University School of Medicine
  • AOKI NOBUO
    Second Department of Internal Medicine, Kyorin University School of Medicine
  • FUKUZUMI NAOYOSHI
    Department of Surgical Pathology, Kyorin University School of Medicine
  • ISHIKAWA KYOZO
    Second Department of Internal Medicine, Kyorin University School of Medicine

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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.

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