title: Ophthalmoplegia Due to Scrub Typhus.
abstract: Scrub typhus is an acute febrile infectious disease caused by Orientia tsutsugamushi. The illness is usually characterized by fever, rash, and lymphadenopathy, but severe cases progress to pulmonary and neurological involvement. We report a 69-year-old man who developed ptosis and ophthalmoplegia with a focal nodular lesion in the anterior cavernous sinus detected with magnetic resonance imaging. Found to have scrub typhus, the ptosis and ophthalmoplegia resolved after treatment with doxycycline.
authors.affiliation: Department of Neurology (JK, JSK, D-IS, S-HL, S-SL), Chungbuk National University College Medicine, Chungbuk National University Hospital, Cheoungju, Korea; and Department of Neurology (S-YC), Eulji University Hospital, Daejeon, Korea.
authors.forename: Jinhyun
authors.initials: J
authors.lastname: Kim
authors.forename: Ji Seon
authors.initials: JS
authors.lastname: Kim
authors.forename: Dong-Ik
authors.initials: DI
authors.lastname: Shin
authors.forename: Sung-Hyun
authors.initials: SH
authors.lastname: Lee
authors.forename: Sang-Soo
authors.initials: SS
authors.lastname: Lee
authors.forename: Seo-Young
authors.initials: SY
authors.lastname: Choi
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009886:Ophthalmoplegia / Q000209:etiology*; D012612:Scrub Typhus / Q000150:complications*