Rickettsial Meningitis and Encephalitis

doi:10.1001/archinte.1991.00400090051010

You are seeing this message because your Web browser does not support basic Web standards. Find out more about why this message is appearing and what you can do to make your experience on this site better.

Vol. 151 No. 9, SEPTEMBER 1991

Online Only
	•	Online First Table of Contents

ORIGINAL INVESTIGATIONS

•	Online Features

This Article
•	References
•	Full text PDF
•	Reply to article
•	Send to a friend
•	Save in My Folder
•	Save to citation manager
•	Permissions

Citing Articles
•	Citation map
•	Citing articles on HighWire
•	Citing articles on Web of Science (39)
•	Contact me when this article is cited

Related Content
•	Similar articles in this journal

Social Bookmarking
	What's this?

Rickettsial Meningitis and Encephalitis

Khachornsakdi Silpapojakul, MD; Chirapat Ukkachoke, MD; Suebsai Krisanapan, MD; Kamkarn Silpapojakul, MD

Arch Intern Med. 1991;151(9):1753-1757.

Abstract

Nine of 72 patients with scrub typhus and three of 137 withmurine typhus presented with meningitis and/or encephalitissyndromes. Focal neurologic signs were rare, and cerebrospinalfluid profiles were similar to those of leptospirosis and viraland tuberculous meningitis. One patient had papilledema, andanother had cerebellitis. Other major organ involvement (renal,liver, or lungs) occurred in five patients. One patient diedand four spontaneously recovered, while the conditions of therest responded well to either chloramphenicol or doxycycline.Scrub and murine typhus should be included in the differentialdiagnoses of aseptic meningitis and encephalitis in patientsexposed to endemic areas, especially when accompanied by renalinsufficiency and/or jaundice. They are treatable forms of virallikemeningoencephalitis.

(Arch Intern Med. 1991;151:1753-1757)

Author Affiliations

From the Department of Medicine, Faculty of Medicine, Prince of Songkla University (Drs Khachornsakdi Silpapojakul, Ukkachoke, and Krisanapan) and Department of Pediatrics, Haad-Yai Hospital (Dr Kamkarn Silpapojakul), Songkla, Thailand.

Footnotes

Accepted for publication March 21, 1991.

Reprints not available.

Add to CiteULike CiteULike Add to Connotea Connotea Add to Delicious Delicious Add to Digg Digg Facebook Add to Reddit Reddit Add to Technorati Technorati Twitter What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Scrub typhus: an unrecognized threat in South India - clinical profile and predictors of mortality
Chrispal et al.
Trop Doct 2010;40:129-133.
ABSTRACT | FULL TEXT

Reversible hearing impairment: delayed complication of murine typhus or adverse reaction to azithromycin?
Lin et al.
J Med Microbiol 2010;59:602-606.
ABSTRACT | FULL TEXT

Risk Factors Leading to Fatal Outcome in Scrub Typhus Patients
Lee et al.
Am J Trop Med Hyg 2009;81:484-488.
ABSTRACT | FULL TEXT

Clinical Characteristics of Acute Q Fever, Scrub Typhus, and Murine Typhus with Delayed Defervescence Despite Doxycycline Treatment
Lai et al.
Am J Trop Med Hyg 2008;79:441-446.
ABSTRACT | FULL TEXT

Acute Renal Failure Due to Acute Tubular Necrosis Caused by Direct Invasion of Orientia tsutsugamushi
Kim et al.
J. Clin. Microbiol. 2008;46:1548-1550.
ABSTRACT | FULL TEXT

ACUTE RESPIRATORY DISTRESS SYNDROME IN SCRUB TYPHUS
WANG et al.
Am J Trop Med Hyg 2007;76:1148-1152.
ABSTRACT | FULL TEXT

Scrub Typhus: Clinical, Pathologic, and Imaging Findings
Jeong et al.
RadioGraphics 2007;27:161-172.
ABSTRACT | FULL TEXT

Invasion of the Central Nervous System by Intracellular Bacteria
Drevets et al.
Clin. Microbiol. Rev. 2004;17:323-347.
ABSTRACT | FULL TEXT

Short report: Facial nerve palsy associated with Rickettsia conorii infection
Bitsori et al.
Arch. Dis. Child. 2001;85:54-55.
ABSTRACT | FULL TEXT

Scrub Typhus Encephalomyelitis With Prominent Focal Neurologic Signs
Kim et al.
Arch Neurol 2000;57:1770-1772.
ABSTRACT | FULL TEXT

| | |