We present an unusual case of a patient with scrub typhus who developed acalculous cholecystitis, aseptic meningitis and mononeuritis multiplex. The patient was successfully treated with oral minocycline. To our knowledge, this is the first report of mononeuritis multiplex caused by scrub typhus.
BlacksellS. D., BryantN. J., ParisD. H., DoustJ. A., SakodaY., DayN. P.2007; Scrub typhus serologic testing with the indirect immunofluorescence method as a diagnostic gold standard: a lack of consensus leads to a lot of confusion. Clin Infect Dis 44:391–401 [View Article][PubMed]
LeeJ. S., ParkM. Y., KimY. J., KilH. I., ChoiY. H., KimY. C.2009a; Histopathological features in both the eschar and erythematous lesions of Tsutsugamushi disease: identification of CD30+ cell infiltration in Tsutsugamushi disease. Am J Dermatopathol 31:551–556 [View Article][PubMed]
LeeM. S., LeeJ. H., LeeH. S., ChangH., KimY. S., ChoK. H., AhnS. H., SongJ. H., YooM.other authors2009b; Scrub typhus as a possible aetiology of Guillain-Barré syndrome: two cases. Ir J Med Sci 178:347–350 [View Article][PubMed]
YangC. H., YoungT. G., PengM. Y., HsuG. J.1995; Unusual presentation of acute abdomen in scrub typhus: a report of two cases. Zhonghua Yi Xue Za Zhi (Taipei) 55:401–404[PubMed]