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KMID : 0860920110130020126
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Journal of the Korean Association EMG-Electrodiagnostic Medicine
2011 Volume.13 No. 2 p.126 ~ p.130
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Two Cases of Guillain-Barre′Syndrome Following Scrub Typhus - A Case Report -
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Choi Yun-Jung
Ko Young-A
Oh Jee-Hae
Na In-Hoon
Jung Hee-Chan
Lee Jong-In
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Abstract
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Scrub typhus is an acute febrile zoonosis caused by Orientia tsusugamushi, which is transmitted by the infected trombiculid mites. Infections by virulent strains are characterized by fever, rash, eschar, pneumonia, myocarditis and disseminated intravascular coagulation. But peripheral nerve system involvement in scrub typhus is rare. We report two cases of Guillain-Barre′syndrome (GBS) associated with scrub typhus, who initially presented with fever, rash, eschar and responded to doxycyclin. The serological data confirmed the diagnosis of scrub typhus. Two patients later developed ascending progressive weakness that involved both lower and upper extremities. The neurologic examination, cerebrospinal fluid and electromyography studies were compatible with GBS.
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KEYWORD
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Scrub typhus, Gullain- Barre′syndrome
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