An Unusual Presentation of Scrub Typhus Fever
Summary: Scrub typhus is a disease caused by O. tsutsugamushi (Rickettsia). It is an obligate intracellular Gram
negative bacterium, which was first isolated in 1930. The causative organism is transmitted to human beings by
the bite of a larval Leptotrombidium mite (chigger). Here we report a case of 35 years old female, housewife by
occupation presented to himalayan hospital emergency with chief complains of fever for 7 days, right lower limb
weakness for 4 days and loss of vision for 3 days. Patient was admitted and on evaluation was found scrub typhus
positive (rapid as well as IgM test). MRI Cervical Dorso spine was suggested of multiple hyper intensities within the
cord at C7, D1, D2, D3 and D5. Patient responded on azithromycin and doxycycline.