Scrub typhus Meningoencephalitis : Diagnostic dilemma

Background: Neurological involvement in the form of meningitis or meningoencephalitis, although well documented in scrub typhus, has not been extensively studied in the pediatric population. It is seldom considered in the differential diagnosis of meningitis in the Indian subcontinent. Case Presenta...

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Bibliographic Details
Published inNepal journal of neuroscience Vol. 20; no. 3; pp. 57 - 58
Main Authors Narkhede, Nilima, Weling, Rajaram, Prajapati, Sanjay
Format Journal Article
LanguageEnglish
Published 10.11.2023
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Summary:Background: Neurological involvement in the form of meningitis or meningoencephalitis, although well documented in scrub typhus, has not been extensively studied in the pediatric population. It is seldom considered in the differential diagnosis of meningitis in the Indian subcontinent. Case Presentation: We report a case of Scrub typhus meningitis in 13year old male child. The Cerebrospinal Fluid (CSF) revealed lymphocytic pleocytosis, raised proteins and a normal glucose level.   Conclusion : Early diagnosis and prompt institution of doxycycline therapy may lead to early cure of scrub typhus even when features of meningitis supervene. However, Ceftriaxone which is commonly used to treat bacterial meningitis is suboptimal in the treatment of scrub typhus. Key words : Scrub typhus, Meningoencephalitis, CSF
ISSN:1813-1948
1813-1956
DOI:10.3126/njn.v20i3.53306