Long-segment myelitis, meningoencephalitis, and axonal polyneuropathy in a case of scrub typhus
Scrub typhus, a mite-borne zoonotic disease, is endemic in several parts of India. It may cause multisystemic disease involving lungs, heart, spleen, liver, hematological system, and nervous system. Neurological involvement may include meningoencephalitis, cerebellitis, cranial nerve palsies, plexop...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2019-01-01
|
| Series: | Annals of Indian Academy of Neurology |
| Subjects: | |
| Online Access: | http://www.annalsofian.org/article.asp?issn=0972-2327;year=2019;volume=22;issue=2;spage=237;epage=240;aulast=Tandon |
| _version_ | 1818260385115930624 |
|---|---|
| author | Ruchika Tandon Amit Kumar Ajay Kumar |
| author_facet | Ruchika Tandon Amit Kumar Ajay Kumar |
| author_sort | Ruchika Tandon |
| collection | DOAJ |
| description | Scrub typhus, a mite-borne zoonotic disease, is endemic in several parts of India. It may cause multisystemic disease involving lungs, heart, spleen, liver, hematological system, and nervous system. Neurological involvement may include meningoencephalitis, cerebellitis, cranial nerve palsies, plexopathy, transverse myelitis, muscle dysfunction, neuroleptic malignant syndrome, parkinsonian syndrome, and Guillain–Barre syndrome. Here, we report a rare patient of scrub typhus, who developed meningoencephalitis followed by long-segment myelitis and axonal polyneuropathy, with hepatic, renal, hematological, and pulmonary involvement, following acute febrile illness with associated neurocysticercosis. He gained consciousness with a resolution of almost all of his complaints, with the exception of muscular power, which showed partial improvement following treatment with doxycycline, azithromycin, and steroids. What needs to be explored is whether the existence of neurological scrub typhus with neurocysticercosis is the coincidental price paid for living in the tropics or there is something more to it as in case of Japanese encephalitis and neurocysticercosis co-infection. |
| first_indexed | 2024-12-12T18:30:29Z |
| format | Article |
| id | doaj.art-8946c4f7dd0945d7951aba785e5e8bbd |
| institution | Directory Open Access Journal |
| issn | 0972-2327 1998-3549 |
| language | English |
| last_indexed | 2024-12-12T18:30:29Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Indian Academy of Neurology |
| spelling | doaj.art-8946c4f7dd0945d7951aba785e5e8bbd2022-12-22T00:15:55ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492019-01-0122223724010.4103/aian.AIAN_66_18Long-segment myelitis, meningoencephalitis, and axonal polyneuropathy in a case of scrub typhusRuchika TandonAmit KumarAjay KumarScrub typhus, a mite-borne zoonotic disease, is endemic in several parts of India. It may cause multisystemic disease involving lungs, heart, spleen, liver, hematological system, and nervous system. Neurological involvement may include meningoencephalitis, cerebellitis, cranial nerve palsies, plexopathy, transverse myelitis, muscle dysfunction, neuroleptic malignant syndrome, parkinsonian syndrome, and Guillain–Barre syndrome. Here, we report a rare patient of scrub typhus, who developed meningoencephalitis followed by long-segment myelitis and axonal polyneuropathy, with hepatic, renal, hematological, and pulmonary involvement, following acute febrile illness with associated neurocysticercosis. He gained consciousness with a resolution of almost all of his complaints, with the exception of muscular power, which showed partial improvement following treatment with doxycycline, azithromycin, and steroids. What needs to be explored is whether the existence of neurological scrub typhus with neurocysticercosis is the coincidental price paid for living in the tropics or there is something more to it as in case of Japanese encephalitis and neurocysticercosis co-infection.http://www.annalsofian.org/article.asp?issn=0972-2327;year=2019;volume=22;issue=2;spage=237;epage=240;aulast=TandonAxonal polyneuropathylong-segment myelitismeningoencephalitisscrub typhuszoonosis |
| spellingShingle | Ruchika Tandon Amit Kumar Ajay Kumar Long-segment myelitis, meningoencephalitis, and axonal polyneuropathy in a case of scrub typhus Annals of Indian Academy of Neurology Axonal polyneuropathy long-segment myelitis meningoencephalitis scrub typhus zoonosis |
| title | Long-segment myelitis, meningoencephalitis, and axonal polyneuropathy in a case of scrub typhus |
| title_full | Long-segment myelitis, meningoencephalitis, and axonal polyneuropathy in a case of scrub typhus |
| title_fullStr | Long-segment myelitis, meningoencephalitis, and axonal polyneuropathy in a case of scrub typhus |
| title_full_unstemmed | Long-segment myelitis, meningoencephalitis, and axonal polyneuropathy in a case of scrub typhus |
| title_short | Long-segment myelitis, meningoencephalitis, and axonal polyneuropathy in a case of scrub typhus |
| title_sort | long segment myelitis meningoencephalitis and axonal polyneuropathy in a case of scrub typhus |
| topic | Axonal polyneuropathy long-segment myelitis meningoencephalitis scrub typhus zoonosis |
| url | http://www.annalsofian.org/article.asp?issn=0972-2327;year=2019;volume=22;issue=2;spage=237;epage=240;aulast=Tandon |
| work_keys_str_mv | AT ruchikatandon longsegmentmyelitismeningoencephalitisandaxonalpolyneuropathyinacaseofscrubtyphus AT amitkumar longsegmentmyelitismeningoencephalitisandaxonalpolyneuropathyinacaseofscrubtyphus AT ajaykumar longsegmentmyelitismeningoencephalitisandaxonalpolyneuropathyinacaseofscrubtyphus |