Department of General Medicine, Jawaharlal Institute of Postgraduate Medical Education, Pondicherry, India.
Department of General Medicine, Jawaharlal Institute of Postgraduate Medical Education, Pondicherry, India
BMJ Case Rep. 2021 Mar 17;14(3):e242229. doi: 10.1136/bcr-2021-242229.
This 18-year-old boy presented to the hospital with symptoms of cerebellar dysfunction preceded by an acute febrile illness with rash. Examination showed evidence of left-sided cerebellar dysfunction and polyneuropathy. Empirical treatment for leptospirosis and scrub typhus was initiated. MRI was normal. Other organ dysfunctions in the form of thrombocytopenia and transaminitis were also observed. He recovered without sequelae. A diagnosis of acute cerebellar ataxia and polyneuropathy due to scrub typhus was made.
这位 18 岁男孩因急性发热伴皮疹的前驱疾病而出现小脑功能障碍的症状，到医院就诊。检查显示左侧小脑功能障碍和多发性神经病的证据。开始经验性治疗钩端螺旋体病和丛林斑疹伤寒。MRI 正常。还观察到其他器官功能障碍，如血小板减少和转氨基酶升高。他没有留下后遗症而康复。诊断为丛林斑疹伤寒引起的急性小脑共济失调和多发性神经病。
