• Yan Chen, Zhenfeng Guo, Li Wang, Ningchang Cheng, and Cheng Wang.
• Department of Respiratory, BenQ Medical Center, The Affiliated BenQ Hospital of Nanjing Medical University, Nanjing, China.
• Medicine (Baltimore). 2023 Sep 29; 102 (39): e35271e35271.

RationaleScrub typhus is a zoonotic disease caused by Orientia tsutsugamushi, a gram-negative intracellular bacterium and endemic in Asia-Pacific area. Acute myocardial infarction after Oricntia tsutsugamushi infection was rarely reported, and young adult was not reported.Patient ConernsA 33-year-old man came to the emergency complained with chest tightness and fever for 4 days.DiagonosesAfter Weil-Felix agglutination test (titer 1:160) twice, scrub typhus was diagnosed.InterventionsAfter treating with a hormonotherapy, antibiotic and ventilator-assisted ventilation, his chest tightness was mild lessened with normal breath and body temperature. However, an emergent coronary angiography performed unnormal, then a percutaneous coronary intervention was realized with the implantation of a stent.OutcomesAfter the surgeon, his chest tightness was totally released, and he was discharged.LessonsOur case was the first report of young adult acute myocardial infarction after O tsutsugamushi infection and we tried to figure out the potential mechanism and how to deal with.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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