Pathology and laboratory medicine

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rickettsial-borne myocarditis & subsequent Atrial fib.

A compadre of mine returned from a trip to Africa with significant
constitutional symptoms which went undiagnosed for 9 months.  Later, he
was diagnosed with combined Mediterranean spotted fever (Rickettsia
conorii) and Epidemic typhus (Rickettsia prowazekii) with subsequent
myocarditis & atrial fib.  

He’s now taking propafenone with moderate success.  Is anyone familiar
with prognosis, alternative therapies, other, in association with
myocarditis in this setting?

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