Jafri Asif Dabeer, Dhar Srikant K, Naik Chitralekha, Rizvi Kayenaat
General Medicine, SUM Ultimate Medicare, Bhubaneswar, IND.
Internal Medicine, Institute of Medical Sciences (IMS) and SUM Hospital, Bhubaneswar, IND.
Cureus. 2024 Oct 2;16(10):e70740. doi: 10.7759/cureus.70740. eCollection 2024 Oct.
Scrub typhus continues to pose a significant threat to life, manifesting in a spectrum that ranges from mild, non-specific febrile illness to severe multi-organ dysfunction. Although neuropsychiatric symptoms are rare in cases of scrub typhus, we present a unique case involving a 60-year-old male who initially exhibited fever and headache, subsequently developing neuropsychiatric symptoms on the third day of hospitalization. Following the exclusion of prevalent metabolic, autoimmune, and infectious conditions, he was diagnosed with hypoactive delirium associated with scrub typhus. This case highlights the complex nature of hypoactive delirium, which may manifest with nonspecific symptoms that are frequently overlooked. Consequently, the recognition of delirium can be particularly difficult, potentially resulting in underdiagnosis in clinical settings.
恙虫病仍然对生命构成重大威胁，其表现形式多样，从轻微的非特异性发热疾病到严重的多器官功能障碍。尽管恙虫病病例中神经精神症状罕见，但我们报告了一例独特病例，一名60岁男性最初出现发热和头痛，随后在住院第三天出现神经精神症状。在排除常见的代谢、自身免疫和感染性疾病后，他被诊断为与恙虫病相关的活动减退性谵妄。该病例凸显了活动减退性谵妄的复杂性，其可能表现为经常被忽视的非特异性症状。因此，谵妄的识别可能特别困难，在临床环境中可能导致诊断不足。
