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Cardiopulmonary Dynamics in a Severe Case of Rocky Mountain Spotted Fever

Cardiopulmonary Dynamics in a Severe Case of Rocky Mountain Spotted Fever Abstract • A 19-year-old man had multisystem organ failure secondary to Rocky Mountain spotted fever. In addition to renal, cerebral, liver, and gastrointestinal tract involvement, he manifested noncardiogenic pulmonary edema and, later, myocardial dysfunction. Aggressive surgical, medical, and monitoring procedures led to recovery. Previously suggested myocardial dysfunction was documented for the first time. (Arch Intern Med 140:1357-1359, 1980) References 1. Hattwick MAW, O'Brien RJ, Hanson BF: Rocky Mountain spotted fever: Epidemiology of an increasing problem. Ann Intern Med 84:732-739, 1976.Crossref 2. Hattwick MAW, Retailliau H, O'Brien R, et al: Fatal Rocky Mountain spotted fever. JAMA 240:1499-1503, 1978.Crossref 3. Torres J, Humphreys E, Bisno AL: Rocky Mountain spotted fever in the mid-South. Arch Intern Med 132:340-347, 1973.Crossref 4. Case 18-1978: Case records of the Massachusetts General Hospital: Weekly clinicopathologic exercises. N Engl J Med 298:1071-1078, 1978.Crossref 5. Middleton DB: Rocky Mountain spotted fever: Gastrointestinal and laboratory manifestations. South Med J 71:629-632, 1978.Crossref 6. Green WR, Walker DH, Cain BG: Fatal viscerotropic Rocky Mountain spotted fever. Am J Med 64:523-528, 1978.Crossref 7. Ramphal R, Kluge R, Cohen V, et al: Rocky Mountain spotted fever and jaundice. Arch Intern Med 138:260-263, 1978.Crossref 8. Kahn LI: Rocky Mountain spotted fever: Successful application of new insights into physiologic changes during acute infections to successful management of a severely-ill patient. Clin Pediatr 8:331-343, 1969.Crossref 9. Hand WL, Miller JB, Reinarz JA, et al: Rocky Mountain spotted fever: A vascular disease. Arch Intern Med 125:879-882, 1970.Crossref 10. Vianna NJ, Hinman AR: Rocky Mountain spotted fever on Long Island. Am J Med 51:725-730, 1971.Crossref 11. Sexton DJ, Banks PM, Weig S, et al: Late appearance of skin rash and abnormal serum enzymes in Rocky Mountain spotted fever. J Pediatr 87:580-582, 1975.Crossref 12. Forrester JS, Diamond G, McHugh TJ, et al: Filling pressures in the right and left sides of the heart in acute myocardial infarction. N Engl J Med 285:190-193, 1971.Crossref 13. Finch CA, Lenfant C: Oxygen transport in man. N Engl J Med 286:407-415, 1972.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Cardiopulmonary Dynamics in a Severe Case of Rocky Mountain Spotted Fever

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References (20)

Publisher
American Medical Association
Copyright
Copyright © 1980 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1980.00330210105031
Publisher site
See Article on Publisher Site

Abstract

Abstract • A 19-year-old man had multisystem organ failure secondary to Rocky Mountain spotted fever. In addition to renal, cerebral, liver, and gastrointestinal tract involvement, he manifested noncardiogenic pulmonary edema and, later, myocardial dysfunction. Aggressive surgical, medical, and monitoring procedures led to recovery. Previously suggested myocardial dysfunction was documented for the first time. (Arch Intern Med 140:1357-1359, 1980) References 1. Hattwick MAW, O'Brien RJ, Hanson BF: Rocky Mountain spotted fever: Epidemiology of an increasing problem. Ann Intern Med 84:732-739, 1976.Crossref 2. Hattwick MAW, Retailliau H, O'Brien R, et al: Fatal Rocky Mountain spotted fever. JAMA 240:1499-1503, 1978.Crossref 3. Torres J, Humphreys E, Bisno AL: Rocky Mountain spotted fever in the mid-South. Arch Intern Med 132:340-347, 1973.Crossref 4. Case 18-1978: Case records of the Massachusetts General Hospital: Weekly clinicopathologic exercises. N Engl J Med 298:1071-1078, 1978.Crossref 5. Middleton DB: Rocky Mountain spotted fever: Gastrointestinal and laboratory manifestations. South Med J 71:629-632, 1978.Crossref 6. Green WR, Walker DH, Cain BG: Fatal viscerotropic Rocky Mountain spotted fever. Am J Med 64:523-528, 1978.Crossref 7. Ramphal R, Kluge R, Cohen V, et al: Rocky Mountain spotted fever and jaundice. Arch Intern Med 138:260-263, 1978.Crossref 8. Kahn LI: Rocky Mountain spotted fever: Successful application of new insights into physiologic changes during acute infections to successful management of a severely-ill patient. Clin Pediatr 8:331-343, 1969.Crossref 9. Hand WL, Miller JB, Reinarz JA, et al: Rocky Mountain spotted fever: A vascular disease. Arch Intern Med 125:879-882, 1970.Crossref 10. Vianna NJ, Hinman AR: Rocky Mountain spotted fever on Long Island. Am J Med 51:725-730, 1971.Crossref 11. Sexton DJ, Banks PM, Weig S, et al: Late appearance of skin rash and abnormal serum enzymes in Rocky Mountain spotted fever. J Pediatr 87:580-582, 1975.Crossref 12. Forrester JS, Diamond G, McHugh TJ, et al: Filling pressures in the right and left sides of the heart in acute myocardial infarction. N Engl J Med 285:190-193, 1971.Crossref 13. Finch CA, Lenfant C: Oxygen transport in man. N Engl J Med 286:407-415, 1972.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Oct 1, 1980

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