Incidentally Discovered Splenic Infarction Associated with Scrub Typhus

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Incidentally Discovered Splenic Infarction Associated with Scrub Typhus

A 46-year-old woman was transferred to our emergency room (ER) from another hospital because of pleural effusion and general weakness. Five days before admission to our ER, oral doxycycline treatment was begun on clinical suspicion of scrub typhus. On physical examination by emergency medical services personnel, the patient did not exhibit a skin rash, and eschar was observed on the right poste...

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Opsoclonus associated with scrub typhus.

A 64-year-old woman and a 40-year-old man (video on the Neurology Web site at www.neurology.org) diagnosed with scrub typhus presented opsoclonus. Drowsiness and mild nuchal rigidity were observed, whereas cranial nerve dysfunction, limb weakness, and sensory loss were not. Brain MRI showed normal findings. The serum antibody titers to Orientia tsutsugamushi were 1:2,560. CSF cytology revealed ...

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Polyneuropathy and Cerebral Infarction Complicating Scrub Typhus

We describe a 64-year-old man with scrub typhus who presented with both polyneuropathy and cerebral infarction. A eurological examination revealed a confused mental state, stiff neck, hearing impairment, symmetric weakness, sensory loss, and ataxia. Electrophysiologic studies showed demyelinating sensorimotor polyneuropathy and sensorineural hearing loss. Brain magnetic resonance imaging showed...

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Successful Treatment of Scrub Typhus - Associated

Scrub typhus is caused by Orientia tsutsugamushi. Any delay in diagnosis can result in delayed treatment and severe complications, including secondary hemophagocytic lymphohistiocytosis, which is rare but potentially fatal. In this paper, the authors present 3 cases of secondary hemophagocytic lymphohistiocytosis associated with scrub typhus, successfully treated with chloramphenicol without ad...

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Scrub-typhus.

Scrub typhus is an important emerging tropical infection that can have severe manifestations in children leading to intensive care admission. It is caused by Orientia tsutsugamushi, a gram negative bacterium transmitted to humans by the bite of larval trombiculid mites. The organism is endemic in south-east Asia and the disease is reported from virtually all parts of India. The hallmark of this...

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ژورنال

عنوان ژورنال: The American Journal of Tropical Medicine and Hygiene

سال: 2015

ISSN: 0002-9637,1476-1645

DOI: 10.4269/ajtmh.15-0140