DOI: https://dx.doi.org/10.18203/2349-3933.ijam20222408
Published: 2022-09-23

An atypical presentation of scrub typhus

Vishranth N. Shetty, Gurukanth Rao, Jayaprakash B.

Abstract


Scrub typhus is caused by Orientia tsutsugamushi, characterised by focal or disseminated vasculitis and perivasculitis which may involve the lungs, heart, liver, spleen and central nervous system. The clinical picture and severity of the symptoms varies widely. The neurological manifestations of scrub typhus are diverse. Meningoencephalitis is classical manifestation of scrub typhus but cerebellitis, cranial nerve palsies, plexopathy, transverse myelitis, neuroleptic malignant syndrome and Guillain-Barre syndrome are other manifestations reported in literature. The availability of literature on the neurological manifestations of scrub typhus is limited to case reports mainly. This article shows a case report of neurological manifestations of scrub typhus.

 


Keywords


Scrub typhus, Encephalitis, Chigger

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References


Silpapojakul K, Ukkachoke C, Krisanapan S, Silpapojakul K. Rickettsial meningitis and encephalitis. Arch Intern Med. 1991;151:1753-7.

Isaac R, Varghese GM, Mathai EJ, Joseph MI. Scrub typhus: prevalence and diagnostic issues in rural Southern India. Clin Infect Dis. 2004;39:1395-6.

Kaiser RS, Khemka A, Roy O, Das S, Datta K. An Unusual Aetiology of Cerebellar Ataxia. Child Neurol Open. 2020;7:2329048X20907754.

Didel S, Basha MA, Biswal M, Suthar R, Sankhyan N. Acute Cerebellitis in a Child with Scrub Typhus. Pediatr Infect Dis J. 2017;36(7):696-7.

Bhoil R, Kumar S, Sood RG, Bhoil S, Verma R, Thakur R. Cerebellitis as an atypical manifestation of scrub typhus. Neurology. 2016;86(22):2113-4.

Kim HC, Yoon KW, Yoo DS, Cho CS. Hemorrhagic Transformation of Scrub Typhus Encephalitis: A Rare Entity. Clin Neuroradiol. 2015;25(4):415-8.

Bhat MD, Vykuntaraju KN, Acharya UV, Ramaswamy P, Prasad C. Isolated Cerebellitis in Scrub Typhus. Indian J Pediatr. 2015;82(11):1067-8.