Scrub typhus meningoencephalitis- An interesting case study

Abstract

ABSTRACT

Scrub typhus is a mite borne acute febrile illness by Gram-negative intracellular organism Orientia

tsutsugamushi. Its commonly presents as fever, headache, inoculation eschar, and lymphadenopathy. In severe

forms, pneumonia, myocarditis, azotemia, shock, gastrointestinal bleed, and meningoencephalitis are known to

occur [1

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2] . Central nervous system involvement is a complication of scrub typhus ranging from meningitis to

meningoencephalitis. We report a case of acute meningoencephalitis syndrome, following scrub typhus

infection in a 13-year-old child. Patient was treated with injection ceftriaxone, injection dexamethasone, capsule

doxycycline, tablet azithromycin and injection levetiracetam. Patient was hospitalized for 13 days and recovered

completely.