Department of Internal Medicine, Buddhist Tzu Chi General Hospital and Tzu Chi University, Hualien, Taiwan.
Department of Radiology, Buddhist Tzu Chi General Hospital and Tzu Chi University, Hualien, Taiwan.
Int J Infect Dis. 2018 Dec;77:5-7. doi: 10.1016/j.ijid.2018.09.015. Epub 2018 Sep 21.
Central nervous system symptoms occur in more than 80% of patients with scrub typhus infection; however, the entity of central nervous system involvement is still not fully understood. We present the case of a patient with fulminant scrub typhus with multiple organ failure, including prolonged deep coma, and detail the sequential neurological symptoms, signs, laboratory data, and neuroradiological findings.
中枢神经系统症状发生在超过 80%的恙虫病感染患者中;然而,中枢神经系统受累的具体情况仍未完全了解。我们报告了一例暴发性恙虫病伴多器官衰竭的患者,包括长时间深度昏迷,并详细描述了连续的神经症状、体征、实验室数据和神经影像学发现。