Case 168. Tsutsugamushi disease (38 y-o M)

       
  Autopsy findings of the skin and heart in a classic Tsutsugamushi disease in Akita (clinical course: 8 days)  
       

 

  The heart muscles are multifocally infiltrated by lymphocytes and macrophages (HE). The features are consistent with rickettsial myocarditis.