title: Successfully Managed Acute Transverse Myelitis Related to Scrub Typhus and Serial Image Findings.
abstract: Central nervous system involvement manifesting as meningitis or meningoencephalitis is a known complication of scrub typhus, but very few spinal cord lesions such as acute transverse myelitis (ATM) have been reported in association with this disease. Scrub typhus patients with a spinal lesion present with neurologic symptoms including dysuria, motor, and sensory weakness. Herein, we describe a rare case of ATM associated with scrub typhus. Clinical characteristics, cerebrospinal fluid cytology,Orientia tsutsugamushiserum antibody titer, and serial magnetic resonance imaging scans resulted in a diagnosis of ATM associated with scrub typhus.
authors.affiliation: Seoul Regional Military Manpower Administration, Seoul, Korea.
authors.forename: Jae Sung
authors.initials: JS
authors.lastname: Yun
authors.affiliation: Department of Radiology, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.
authors.forename: Ji Soo
authors.initials: JS
authors.lastname: Song
authors.affiliation: Department of Radiology, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.
authors.forename: Eun Jung
authors.initials: EJ
authors.lastname: Choi
authors.affiliation: Department of Internal Medicine, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.
authors.forename: Jeong-Hwan
authors.initials: JH
authors.lastname: Hwang
authors.affiliation: Department of Internal Medicine, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.
authors.forename: Chang-Seop
authors.initials: CS
authors.lastname: Lee
authors.affiliation: Department of Radiology, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.
authors.forename: Eun Hae
authors.initials: EH
authors.lastname: Park
mesh_terms: D000208:Acute Disease; D000368:Aged; D000907:Antibodies, Bacterial / Q000097:blood; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009188:Myelitis, Transverse / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D012285:Orientia tsutsugamushi / Q000302:isolation & purification; D012307:Risk Factors; D012612:Scrub Typhus / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D016896:Treatment Outcome
chemical_list: D000907:Antibodies, Bacterial