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VOLUME 1 , ISSUE 1 ( January-June, 2025 ) > List of Articles

CASE REPORT

Scrub Typhus: An Uncommon Cause for Pediatric Acute Cerebellitis in India – A Case Report

Jayshree Mahigh, Dixa Shah, Ayush Khare, Nitish Vora, Sanjiv Mehta, Siddharth Shah

Keywords : Ataxia, Case report, Orientia tsutsugamushi, Pyrexia of unknown origin, Scrub typhus

Citation Information : Mahigh J, Shah D, Khare A, Vora N, Mehta S, Shah S. Scrub Typhus: An Uncommon Cause for Pediatric Acute Cerebellitis in India – A Case Report. J Acad Pediatr Neurol 2025; 1 (1):17-18.

DOI: 10.5005/jaopn-11028-0006

License: CC BY-NC 4.0

Published Online: 17-01-2025

Copyright Statement:  Copyright © 2025; The Author(s).


Abstract

Scrub typhus is a clinical condition, which is endemic to our country. It is an acute to sub-acute form of febrile illness, causing range of milder symptoms from fever, body pain to more severe complications such as acute kidney failure, scrub meningitis and sometimes even death. Recently, since last few years, the cases of scrub typhus are on a rise and the total number of documented cases are quite less than the actual prevalence. Many cases go unreported, or gets diagnosed only in the 2nd week of illness because of its undifferentiated symptoms from other common diseases. This clinical condition can literally affect any organ, and has become one of the commonest causes of pyrexia of unknown origin (PUO). But once the diagnosis is done, the specific treatment is available and in majority of cases, the cure is complete specially if started early, therefore, it is important to have an awareness among doctors regarding the nature, symptoms, and treatment of scrub typhus. In this article, we present a case report of a 8 years old boy with atypical presentation of fever followed by ataxia.


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  1. Didel S, Basha MA, Biswal M, et al. Acute cerebellitis in a child with scrub typhus. Pediatr Infect Dis J 2017;36(7):696–697. DOI: 10.1097/INF.0000000000001524.
  2. Bhoil R, Kumar S, Sood RG, et al. Cerebellitis as an atypical manifestation of scrub typhus. Neurology 2016;86(22):2113–2114. DOI: 10.1212/WNL.0000000000002717.
  3. Bhat MD, Vykuntaraju KN, Acharya UV, et al. Isolated cerebellitis in scrub typhus. Indian J Pediatr 2015;82(11):1067–1068. DOI: 10.1007/s12098-015-1784-5.
  4. Basu S, Chakravarty A. Neurological manifestations of scrub typhus. Curr Neurol Neurosci Rep 2022;22(8):491–498. DOI: 10.1007/s11910-022-01215-5.
  5. Sharma A, Mahajan V, Guglani V, et al. Open-labeled randomized controlled trial on efficacy of azithromycin versus doxycycline in pediatric scrub typhus. Pediatr Infect Dis J 2023;42(12):1067–1072. DOI: 10.1097/INF.0000000000004104.
  6. Basu S, Chakravarty A. Neurological Manifestations of scrub typhus. Curr Neurol Neurosci Rep 2022;22(8):491–498. DOI: 10.1007/s11910-022-01215-5.
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