Acute Encephalitis Syndrome: A Rare Presentation of Scrub Typhus in Adults
ABSTRACTScrub typhus or bush typhus or tsutsugamushi disease is a mite-borne acute febrile illness caused by Gram-negative intracellular organism Orientiatsutsugamushi (which belongs to the family of Rickettsiaceae). Common presentation of scrub typhus includes fever, headache and inoculation eschar and lymphadenopathy. In severe forms, pneumonia, myocarditis, azotemia, shock, gastrointestinal bleeding and meningoencephalitis are known to occur. Central nervous system (CNS) involvement may be a complication of scrub typhus, which ranges from meningitis to frank meningoencephalitis. Here we are describing a case of acute encephalitis syndrome (AES), following scrub typhus infection in an adult patient. Patient didn’t have concurrent infection with any other tropical fever diseases, like malaria, chikungunya, typhoid and dengue fever. Patient was put on injection ceftriaxone, capsule...
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