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KMID : 1130620080040010036
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Journal of Clinical Neurology
2008 Volume.4 No. 1 p.36 ~ p.39
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Polyneuropathy and Cerebral Infarction Complicating Scrub Typhus
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Kim Jung-Hwa
Yoon Sung-Sang
Park Key-Chung
Chung Kyung-Cheon
Chang Dae-Il
Ahn Tae-Beom
Lee Sun-A
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Abstract
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We describe a 64-year-old man with scrub typhus who presented with both polyneuropathy and cerebral infarction.
A neurological examination revealed a confused mental state, stiff neck, hearing impairment, symmetric weakness,
sensory loss, and ataxia. Electrophysiologic studies showed demyelinating sensorimotor polyneuropathy and
sensorineural hearing loss. Brain magnetic resonance imaging showed multiple infarctions. Brain involvement or
polyneuropathy associated with scrub typhus has been rarely reported, and the pathogenic mechanism underlying
the multiple neurological complications remains to be elucidated.
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KEYWORD
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Scrub typhus, Guillain-Barre syndrome, Cerebral infarction
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