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Hemorrhagic Transformation of Scrub Typhus Encephalitis: A Rare Entity.
[scrub typhus]
Central
nervous
system
(
CNS
)
involvement
of
scrub
typhus
infection
is
well
known
.
Most
CNS
involvement
of
scrub
typhus
infection
present
as
meningitis
or
encephalitis
.
We
report
on
a
patient
suffering
from
hemorrhagic
transformation
of
intracranial
lesions
caused
by
Orientia
tsutsugamushi
.
A
53
-
year
-old
female
farmer
who
was
infected
by
scrub
typhus
was
treated
with
doxycycline
and
recovered
from
the
systemic
illness
.
However
,
headache
persisted
.
Brain
radiologic
studies
revealed
acute
intracranial
hemorrhage
and
enhancing
lesion
,
which
implied
a
CNS
involvement
.
Hemorrhagic
transformation
of
encephalitis
by
scrub
typhus
is
very
rare
complication
and
to
our
best
knowledge
,
this
is
the
first
report
of
hemorrhagic
transformation
of
scrub
typhus
encephalitis
.
Clinician
should
consider
the
possibility
of
hemorrhagic
transformation
of
encephalitis
in
cases
of
scrub
typhus
infection
.
Diseases
Validation
Diseases presenting
"meningitis"
symptom
acute rheumatic fever
child syndrome
dracunculiasis
familial mediterranean fever
hydrocephalus with stenosis of the aqueduct of sylvius
kallmann syndrome
malignant atrophic papulosis
pyomyositis
scrub typhus
This symptom has already been validated