Scrub Typhus Meningoencephalitis Presenting as Generalized Convulsive Status Epilepticus with Basal Ganglia and Extra-limbic Cortical Involvement, Complicated by Cortical Multifocal Myoclonus
Scrub typhus can be a significant diagnostic challenge, potentially presenting with generalized convulsive status epilepticus and mimicking both clinical and radiological features of arboviral encephalitides, such as those caused by West Nile and Japanese encephalitis viruses. Furthermore, as demonstrated in this case, its radiological presentation can resemble that of autoimmune encephalitis. Given that scrub typhus is amenable to treatment with antibiotics, such as doxycycline and azithromycin, which do not increase seizure risk, it should be considered in the differential diagnosis for patients presenting with seizures or encephalitis, especially in endemic areas.
Authors
- Moisés León‐Ruiz (ORCID: https://orcid.org/0000-0002-1766-4183)
- Julián Benito‐León (ORCID: https://orcid.org/0000-0002-1769-4809)
- Uttam Biswas (ORCID: https://orcid.org/0000-0002-4497-4478)
- Ritwik Ghosh (ORCID: https://orcid.org/0000-0002-8192-0807)
- Raghul Bheeman
- Ritun Sarkar
- Arpan Mukhopadhyay
Institutions
- Universidad Complutense de Madrid (ES)
- Burdwan Medical College & Hospital (IN)
- Hospital Universitario La Paz (ES)
- Research Institute Hospital 12 de Octubre (ES)
- Biomedical Research Networking Center on Neurodegenerative Diseases (ES)
Publication Details
- Journal
- The Neurohospitalist
- Published
- 2024-09-02
- DOI
- https://doi.org/10.1177/19418744241276903
- Citations
- 6
- Primary Topic
- Infectious Encephalopathies and Encephalitis
- Type
- article
- Field-Weighted Citation Impact
- 2.33
Funders
- European Commission
- Ministerio de Economía y Competitividad
- Ministerio de Ciencia e Innovación
- National Institutes of Health
- National Institute of Neurological Disorders and Stroke