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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
"first report"
symptom
achondroplasia
alexander disease
aniridia
cadasil
canavan disease
child syndrome
cohen syndrome
congenital toxoplasmosis
cowden syndrome
cushing syndrome
cutaneous mastocytosis
cystinuria
dedifferentiated liposarcoma
dentinogenesis imperfecta
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
esophageal squamous cell carcinoma
fabry disease
familial mediterranean fever
focal myositis
harlequin ichthyosis
hirschsprung disease
hodgkin lymphoma, classical
holt-oram syndrome
homocystinuria without methylmalonic aciduria
inclusion body myositis
junctional epidermolysis bullosa
kabuki syndrome
kindler syndrome
krabbe disease
lamellar ichthyosis
liposarcoma
lymphangioleiomyomatosis
monosomy 21
neonatal adrenoleukodystrophy
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
omenn syndrome
pendred syndrome
pleomorphic liposarcoma
primary hyperoxaluria type 1
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
triple a syndrome
typhoid
waldenström macroglobulinemia
werner syndrome
wiskott-aldrich syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
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