Yun Jae Sung, Song Ji Soo, Choi Eun Jung, Hwang Jeong-Hwan, Lee Chang-Seop, Park Eun Hae
Seoul Regional Military Manpower Administration, Seoul, Korea.
Department of Radiology, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.
Am J Trop Med Hyg. 2017 Mar;96(3):557-560. doi: 10.4269/ajtmh.16-0524. Epub 2017 Apr 6.
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, serum antibody titer, and serial magnetic resonance imaging scans resulted in a diagnosis of ATM associated with scrub typhus.
中枢神经系统受累表现为脑膜炎或脑膜脑炎是恙虫病已知的并发症，但与该疾病相关的脊髓病变如急性横贯性脊髓炎（ATM）报道极少。有脊髓病变的恙虫病患者会出现包括排尿困难、运动和感觉无力等神经症状。在此，我们描述一例与恙虫病相关的罕见急性横贯性脊髓炎病例。通过临床特征、脑脊液细胞学检查、血清抗体滴度以及系列磁共振成像扫描确诊为与恙虫病相关的急性横贯性脊髓炎。
