Affiliation:
1. Post-graduate resident, Department of Paediatrics, Burdwan Medical College.
Abstract
Scrub typhus is an Acute Undifferentiated Febrile Illness (AUFI) with diverse clinical presentations. This infection is known to exhibit wide
spectrum of neurological manifestations, although long segment demyelination of spinal cord is a very rare presentation especially in paediatric
age group. We report a case of an 11 years old girl who presented with altered sensorium, high grade fever, hepatomegaly, neck rigidity, raised
intracranial tension and paraparesis. She was diagnosed as a case of acute meningoencephalitis with long segment demyelination of spinal cord
with axonal motor polyradiculoneuropathy as a complication of scrub typhus infection. The girl was treated with oral Doxycycline and intravenous
Methylprednisolone. She showed a dramatic response without any residual neurological decit.
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