Samiksha Gupta, Gautam Jesrani, Saurabh Gaba, Monica Gupta

Department of General Medicine, Government Medical College and Hospital, Chandigarh, India

Keywords: Atrioventricular block, cardiovascular system, Orientia tsutsugamushi, Osborn wave, scrub typhus


Scrub typhus (ST) has wide organ system involvement, but cardiac involvement is paramount in this spectrum due to early hemodynamic compromise. Various forms of cardiac involvement have been described in the literature, but we are describing rare electrocardiographic changes in the ST infection. A young male presented in our emergency department with complaints of restlessness and vomiting of 2 days' duration. The patient was having stable vitals on presentation, but his electrocardiogram (ECG) demonstrated second-degree atrioventricular block type 1 (also known Mobitz 1) and Osborn wave in the precordial leads. Further, he was having thrombocytopenia and eventually diagnosed with ST. For this, appropriate antibiotic treatment was given, which led to considerable symptomatic improvement and reversal of the ECG changes.

Ethics Committee Approval

Proper written consent is present, which was obtained from the patient for the use of the data related to this case.

Author Contributions

SG and GJ: Case presentation, management, data collection, investigations, and writing of original draft.
MG and SG: Clinical management, discussion, literature review, writing of original draft including conclusion, references, and formatting.

Conflict of Interest

None Declared.

Financial Disclosure