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Fig. 1 | BMC Infectious Diseases

Fig. 1

From: A case report of scrub typhus complicated with myocarditis and rhabdomyolysis

Fig. 1

The electrocardiogram (ECG) performed upon admission showed a normal sinus rhythm with a low QRS voltage in all limb leads and precordial leads (a). The TTE subcostal view revealed a normally sized left ventricle and a mild pericardial effusion (b). Contrast-enhanced cardiac magnetic resonance imaging showed a pericardial effusion and subepicardial enhancement in the apical segment (c). Contrast-enhanced cardiac magnetic resonance imaging showed subepicardial enhancement in the mid anteroseptal and mid anterior segments (d). A bone scan revealed increased soft tissue uptake in both the arms and the legs (e). Real-time PCR targeting the 16S rRNA gene of O. tsutsugamushi showed positive at a cross point cycle (Cp) of 32.3 (arrow) in a pericardial fluid specimen, 35.97 (large arrow head) in an eschar specimen, and 39.42 (small arrow head) in an endocardial tissue specimen (positive control: Karp genotype, Cp value = 19.71) (f)

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