J Electrodiagn Neuromuscul Dis.
2023 Apr;25(1):38-41. 10.18214/jend.2022.00185.
Myeloneuropathy with Bilateral Foot Pain after Scrub Typhus Infection: An Antibody-Proven Case Report
- Affiliations
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- 1Department of Rehabilitation Medicine, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea
- 2Department of Neurology, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea
- KMID: 2542893
- DOI: http://doi.org/10.18214/jend.2022.00185
Abstract
- Scrub typhus is an acute febrile illness caused by Orientia tsutsugamushi. The most common neurological symptoms are headaches presenting with meningitis, meningoencephalitis, or encephalitis; however, transverse myelopathy and polyneuropathy are rare in typhoid infections. Herein, we report a laboratory and electrodiagnostically proven case of subacute myelopathy and polyneuropathy with slow progression after scrub typhus infection. A 64-year-old man complained of truncal numbness and a burning sensation in both feet. Magnetic resonance imaging did not reveal any definite changes in the spinal cord; however, serological tests showed immunoglobulin G antibodies against O. tsutsugamushi by enzyme-linked immunosorbent assay. An electrophysiological study showed myelopathy concurrent with polyneuropathy. To the best of our knowledge, this is the first immunochemical detection of antibodies in a patient with delayed neurological manifestations after scrub typhus infection.
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