A case of longitudinally extensive transverse myelitis with coinfection of scrub typhus and leptospirosis

Longitudinally extensive transverse myelitis (LETM) is an immune-mediated disorder where spinal cord lesions extend over three or more contiguous vertebral segments, classically described in neuromyelitis optica spectrum disorders. We report a case where a 36-year-old man had concurrent leptospirosis and scrub typhus infection, presenting with LETM. In previous literature, LETM has been found with isolated leptospira and orientia tsutsugamushi infection; however, this case may be a rare association of LETM with concurrent diseases.