Opsoclonus in scrub typhus

نویسندگان

  • Devavrata Sahu
  • Muralidhar Varma
  • Sudha Vidyasagar
چکیده

Scrub typhus is a mite borne infection, caused by Orientia tsutsugamushi. It is a common cause of pyrexia of unknown origin, especially in the Indian subcontinent. Although it is well known that the infection can affect various systems, and present itself in myriad ways, we present a rare finding of opsoclonus associated with scrub typhus infection. It emphasizes on how even common and well known diseases can have unusual manifestations.

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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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تاریخ انتشار 2017