TY - JOUR TI - An Atypical Case of Rickettsial Spotted Fever Myocarditis Mimicking Weil’s Disease VL - 2019 PY - 2019 DA - 2019/07/08 DO - 10.1155/2019/9620245 UR - https://doi.org/10.1155/2019/9620245 AB - A 65-year-old previously healthy male presented to us on the fourth day of a febrile illness with headache, arthralgia, myalgia, nausea, cough, chest pain, sore throat, and passing of watery stools and dark urine with a history of exposure to leptospirosis during a dengue outbreak. On examination, there was dehydration and hypovolemia, and an ultrasound scan revealed capillary leakage. His liver transaminases, serum creatine, blood urea, C-reactive protein, and neutrophil percentage were high, and thrombocytopenia was present. Moreover, myocarditis has been detected too. Supportive therapy with intravenous ceftriaxone was administered, considering possible Weil’s disease or dengue hemorrhagic fever with secondary bacterial infection. Serological tests, performed later, diagnosed him with a立克次体conorii感染登革热排除，钩端螺旋体病，汉坦病毒和感染。重复二维超声心动图显示出了他，一个月后心脏衰竭的轻度改善八个月后，更多的改善。立克次氏体的斑点热组（SFG）和钩端螺旋体重叠临床特征。钩端螺旋体病是常见的;因此，可以俯瞰SFG和诊断钩端螺旋体病的风险是可能的。分化测试是在斯里兰卡的医院和许多其他发展中国家不可用。实证多西环素在立克次体病很普遍可以拯救生命在这种情况下，地区SFG感染的疑似病例。JF - Case Reports in Infectious Diseases SN - 2090-6625 PB - Hindawi SP - 9620245 KW - A2 - Bush, Larry M. AU - Ehelepola, N. D. B. AU - Kumara, G. D. N. R. AU - Sapurugala, S. A. C. S. AU - Buddhadasa, W. M. N. P. AU - Dissanayake, Wasantha P. ER -