{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T01:34:59Z","timestamp":1775093699189,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2011,11,25]],"date-time":"2011-11-25T00:00:00Z","timestamp":1322179200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Kaohsiung J of Med Scie"],"published-print":{"date-parts":[[2011,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:label\/><jats:p>Scrub typhus is widely distributed across the Asia\u2010Pacific region, Taiwan included. The clinical manifestations and complications of scrub typhus vary and the illness ranges in severity from mild to fatal. The etiology of facial nerve palsy varies and infectious agents have been associated with this condition.<jats:italic>Rickettsiae<\/jats:italic>species have, however, rarely been reported as the causative agents. We report the case of a 49\u2010year\u2010old man who had fever, malaise, headache, oligouria and tea\u2010colored urine. Bilateral pneumonitis, acute renal failure, acalculous cholecystitis and aseptic meningitis were diagnosed after a series of examinations. The patient recovered after doxycycline treatment but he developed bilateral facial palsy during the convalescent phase, which improved after the administration of a steroid. The diagnosis of infection with<jats:italic>Orientia tsutsugamushi<\/jats:italic>was confirmed by the Taiwan Center of Disease Control and the tests for<jats:italic>Leptospira<\/jats:italic>,<jats:italic>Rickettsia typhi<\/jats:italic>and<jats:italic>Coxiella burnetii<\/jats:italic>were all negative. This case indicates that scrub typhus needs to be included in the differential diagnoses of cases of bilateral and simultaneous facial nerve palsy, particularly in areas where the disease is endemic.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.kjms.2011.10.003","type":"journal-article","created":{"date-parts":[[2011,12,2]],"date-time":"2011-12-02T09:19:06Z","timestamp":1322817546000},"page":"573-576","source":"Crossref","is-referenced-by-count":21,"title":["Bilateral simultaneous facial palsy following scrub typhus meningitis: A case report and literature 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