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 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.
Kim
Jung Hwa
JH
Department of Neurology, Kyung Hee University College of Medicine, Seoul, Korea.
Lee
Sun A
SA
Ahn
Tae-Beom
TB
Yoon
Sung Sang
SS
Park
Key Chung
KC
Chang
Dae-Il
DI
Chung
Kyung Cheon
KC