title: Polyneuropathy and cerebral infarction complicating scrub typhus.
abstract: 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 multiple infarctions. Brain involvement or polyneuropathy associated with scrub typhus has been rarely reported, and the pathogenic mechanism underlying the multiple neurological complications remains to be elucidated.
authors.affiliation: Department of Neurology, Kyung Hee University College of Medicine, Seoul, Korea.
authors.forename: Jung Hwa
authors.initials: JH
authors.lastname: Kim
authors.forename: Sun A
authors.initials: SA
authors.lastname: Lee
authors.forename: Tae-Beom
authors.initials: TB
authors.lastname: Ahn
authors.forename: Sung Sang
authors.initials: SS
authors.lastname: Yoon
authors.forename: Key Chung
authors.initials: KC
authors.lastname: Park
authors.forename: Dae-Il
authors.initials: DI
authors.lastname: Chang
authors.forename: Kyung Cheon
authors.initials: KC
authors.lastname: Chung