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Successfully Managed Acute Transverse Myelitis Related to Scrub Typhus and Serial Image Findings.
Am J Trop Med Hyg. 2017 03; 96(3):557-560.AJ

Abstract

Central nervous system involvement manifesting as meningitis or meningoencephalitis is a known complication of scrub typhus, but very few spinal cord lesions such as acute transverse myelitis (ATM) have been reported in association with this disease. Scrub typhus patients with a spinal lesion present with neurologic symptoms including dysuria, motor, and sensory weakness. Herein, we describe a rare case of ATM associated with scrub typhus. Clinical characteristics, cerebrospinal fluid cytology, Orientia tsutsugamushi serum antibody titer, and serial magnetic resonance imaging scans resulted in a diagnosis of ATM associated with scrub typhus.

Links

Publisher Full Text
ncbi.nlm.nih.gov
ajtmh.org
PMC Free PDF

Authors+Show Affiliations

Yun JS
Seoul Regional Military Manpower Administration, Seoul, Korea.
Song JS
Department of Radiology, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.
Choi EJ
Department of Radiology, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.
Hwang JH
Department of Internal Medicine, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.
Lee CS
Department of Internal Medicine, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.
Park EH
Department of Radiology, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.

MeSH

Acute DiseaseAgedAntibodies, BacterialHumansMagnetic Resonance ImagingMaleMyelitis, TransverseOrientia tsutsugamushiRisk FactorsScrub TyphusTreatment Outcome

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

28115665

Citation

Yun, Jae Sung, et al. "Successfully Managed Acute Transverse Myelitis Related to Scrub Typhus and Serial Image Findings." The American Journal of Tropical Medicine and Hygiene, vol. 96, no. 3, 2017, pp. 557-560.
Yun JS, Song JS, Choi EJ, et al. Successfully Managed Acute Transverse Myelitis Related to Scrub Typhus and Serial Image Findings. Am J Trop Med Hyg. 2017;96(3):557-560.
Yun, J. S., Song, J. S., Choi, E. J., Hwang, J. H., Lee, C. S., & Park, E. H. (2017). Successfully Managed Acute Transverse Myelitis Related to Scrub Typhus and Serial Image Findings. The American Journal of Tropical Medicine and Hygiene, 96(3), 557-560. https://doi.org/10.4269/ajtmh.16-0524
Yun JS, et al. Successfully Managed Acute Transverse Myelitis Related to Scrub Typhus and Serial Image Findings. Am J Trop Med Hyg. 2017;96(3):557-560. PubMed PMID: 28115665.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Successfully Managed Acute Transverse Myelitis Related to Scrub Typhus and Serial Image Findings. AU - Yun,Jae Sung, AU - Song,Ji Soo, AU - Choi,Eun Jung, AU - Hwang,Jeong-Hwan, AU - Lee,Chang-Seop, AU - Park,Eun Hae, Y1 - 2017/04/06/ PY - 2017/1/25/pubmed PY - 2017/8/2/medline PY - 2017/1/25/entrez SP - 557 EP - 560 JF - The American journal of tropical medicine and hygiene JO - Am J Trop Med Hyg VL - 96 IS - 3 N2 - Central nervous system involvement manifesting as meningitis or meningoencephalitis is a known complication of scrub typhus, but very few spinal cord lesions such as acute transverse myelitis (ATM) have been reported in association with this disease. Scrub typhus patients with a spinal lesion present with neurologic symptoms including dysuria, motor, and sensory weakness. Herein, we describe a rare case of ATM associated with scrub typhus. Clinical characteristics, cerebrospinal fluid cytology, Orientia tsutsugamushi serum antibody titer, and serial magnetic resonance imaging scans resulted in a diagnosis of ATM associated with scrub typhus. SN - 1476-1645 UR - https://www.unboundmedicine.com/medline/citation/28115665/Successfully_Managed_Acute_Transverse_Myelitis_Related_to_Scrub_Typhus_and_Serial_Image_Findings_ L2 - https://ajtmh.org/doi/10.4269/ajtmh.16-0524 DB - PRIME DP - Unbound Medicine ER -