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FN1Authors' addresses: Jae Sung Yun, Physical Examination Division, Seoul Regional Military Manpower Administration, Seoul, Korea, E-mail: firstname.lastname@example.org. Ji Soo Song, Eun Jung Choi, and Eun Hae Park, Department of Radiology, Chonbuk National University Hospital, Jeonju, Korea, E-mails: email@example.com, firstname.lastname@example.org, and email@example.com. Jeong-Hwan Hwang and Chang-Seop Lee, Department of Internal Medicine, Chonbuk National University Medical School, Jeonju, Korea, E-mails: firstname.lastname@example.org and email@example.com.
- The American Society of Tropical Medicine and Hygiene,
- Source: The American Journal of Tropical Medicine and Hygiene, Volume 96, Issue 3, Mar 2017, p. 557 - 560
Successfully Managed Acute Transverse Myelitis Related to Scrub Typhus and Serial Image Findings
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 tsutsugamushi serum antibody titer, and serial magnetic resonance imaging scans resulted in a diagnosis of ATM associated with scrub typhus.