Ete Tony, Mishra Jaya, Barman Bhupen, Mondal Sumantro, Sivam Rondeep Kumar Nath
Senior Resident, Department of General Medicine, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences , Shillong, Meghalaya, India .
Associate Professor, Department of Pathology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences , Shillong, Meghalaya, India .
J Clin Diagn Res. 2016 Apr;10(4):OD16-7. doi: 10.7860/JCDR/2016/18177.7617. Epub 2016 Apr 1.
Scrub typhus, a rickettsial disease is endemic in several parts of India usually presenting with acute symptoms. Fever, maculopapular rash, eschar, history of tick exposure and supportive diagnostic tests usually leads to diagnosis. Scrub typhus should be included in the differential diagnosis in occasions when a patient presents with fever with or without eschar and isolated cranial nerve palsy. Here we are reporting a case of Scrub typhus who presented with fever and altered sensorium of short duration, eschar formation and bilateral lateral rectus palsy. Patient was treated with doxycycline with complete reversal of neurodeficit.
恙虫病是一种立克次体病，在印度的几个地区流行，通常表现为急性症状。发热、斑丘疹、焦痂、蜱虫接触史及支持性诊断检查通常可确诊。当患者出现有或无焦痂的发热及孤立性颅神经麻痹时，应将恙虫病纳入鉴别诊断。在此，我们报告一例恙虫病患者，其表现为短期内发热、意识改变、焦痂形成及双侧外直肌麻痹。患者接受多西环素治疗后神经功能缺损完全恢复。
