Infect Chemother.  2010 Aug;42(4):253-256. 10.3947/ic.2010.42.4.253.

Bell's Palsy Associated with Scrub Typhus

Affiliations
  • 1Department of Neurology, Chonbuk National University Medical School, Jeonju, Korea.
  • 2Department of Preventive Medicine, Chonbuk National University Medical School, Jeonju, Korea.
  • 3Department of Internal Medicine, Chonbuk National University Medical School, Jeonju, Korea. lcsmd@jbnu.ac.kr
  • 4Research Institute of Clinical Medicine, Jeonju, Korea.

Abstract

We report a case of 58-year-old female with scrub typhus who presented with Bell's palsy. Five days after the initiation of treatment, she developed complete peripheral facial palsy on the right side of her face. Oral corticosteroid, intravenous immunoglobulin, and acyclovir were administered but her Bell's palsy showed no signs of improvement even after one year of regular follow-up at the outpatient department.

Keyword

Bell's palsy; Scrub typhus; Orientia tsutsugamushi; Prognosis

MeSH Terms

Acyclovir
Bell Palsy
Facial Paralysis
Female
Follow-Up Studies
Humans
Immunoglobulins
Middle Aged
Orientia tsutsugamushi
Outpatients
Prognosis
Scrub Typhus
Acyclovir
Immunoglobulins

Figure

  • Figure 1 On admission, the patient shows loss of wrinkling in the right forehead and is unable to close the right eye tightly, puff up the cheeks, and make upward movement of the right upper eyelid (A). The mouth is deviated to the left (B).


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