Mahajan Sanjay K, Mahajan Sanyam K
Department of Medicine, I.G. Medical College, Shimla, Himachal Pradesh, India.
All India Institute of Medical Sciences, New Delhi, India.
J Neurosci Rural Pract. 2017 Jul-Sep;8(3):421-426. doi: 10.4103/jnrp.jnrp_44_17.
Scrub typhus is caused by characterized by focal or disseminated vasculitis and perivasculitis which may involve the lungs, heart, liver, spleen and central nervous system. It was thought to have been eradicated from India. Recently it is being reported from many areas of India. The clinical picture and severity of the symptoms varies widely. The neurological manifestations of scrub typhus are not uncommon but are diverse. Meningoencephalitis is classical manifestation of scrub typhus but cerebellitis, cranial nerve palsies, plexopathy, transverse myelitis, neuroleptic malignant syndrome and syndrome are other manifestations reported in literature. The availability of literature on the neurological manifestations of scrub typhus is limited to case reports mainly. This article reviews various neurological manifestations of scrub typhus reported in literature.
恙虫病由……引起，其特征为局灶性或播散性血管炎和血管周围炎，可累及肺、心脏、肝脏、脾脏和中枢神经系统。曾认为印度已根除该病。最近，印度许多地区都有相关报道。临床表现和症状严重程度差异很大。恙虫病的神经表现并不罕见，但多种多样。脑膜脑炎是恙虫病的典型表现，但小脑炎、颅神经麻痹、神经丛病、横贯性脊髓炎、抗精神病药恶性综合征和……综合征是文献中报道的其他表现。关于恙虫病神经表现的文献主要限于病例报告。本文综述了文献中报道的恙虫病的各种神经表现。
