{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:51:14Z","timestamp":1777942274579,"version":"3.51.4"},"reference-count":26,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,3,8]]},"abstract":"<jats:p>Central nervous system involvement manifesting as meningitis or meningoencephalitis is a known complication of scrub typhus, but very few spinal cord lesions such as acute transverse myelitis (ATM) have been reported in association with this disease. Scrub typhus patients with a spinal lesion present with neurologic symptoms including dysuria, motor, and sensory weakness. Herein, we describe a rare case of ATM associated with scrub typhus. Clinical characteristics, cerebrospinal fluid cytology, <jats:italic>Orientia tsutsugamushi<\/jats:italic> serum antibody titer, and serial magnetic resonance imaging scans resulted in a diagnosis of ATM associated with scrub typhus.<\/jats:p>","DOI":"10.4269\/ajtmh.16-0524","type":"journal-article","created":{"date-parts":[[2017,1,24]],"date-time":"2017-01-24T01:50:28Z","timestamp":1485222628000},"page":"557-560","source":"Crossref","is-referenced-by-count":10,"title":["Successfully Managed Acute Transverse Myelitis Related to Scrub Typhus and Serial Image Findings"],"prefix":"10.4269","volume":"96","author":[{"given":"Jae Sung","family":"Yun","sequence":"first","affiliation":[{"name":"Seoul Regional Military Manpower Administration, Seoul, Korea."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ji Soo","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Radiology, Research Institute of Clinical Medicine of Chonbuk National University\u2013Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eun Jung","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Radiology, Research Institute of Clinical Medicine of Chonbuk National University\u2013Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeong-Hwan","family":"Hwang","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Research Institute of Clinical Medicine of Chonbuk National University\u2013Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chang-Seop","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Research Institute of Clinical Medicine of Chonbuk National University\u2013Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eun Hae","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Radiology, Research Institute of Clinical Medicine of Chonbuk National University\u2013Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"ref1","series-title":"Radiographics","first-page":"161","article-title":"Scrub typhus: clinical, pathologic, and imaging findings","volume":"27","author":"Jeong","year":"2007"},{"key":"ref2","series-title":"BMC Infect Dis","first-page":"108","article-title":"Clinical and laboratory findings associated with severe scrub typhus","volume":"10","author":"Kim","year":"2010"},{"key":"ref3","series-title":"Neurol India","first-page":"17","article-title":"Differential diagnosis of scrub typhus meningitis from bacterial meningitis using clinical and laboratory features","volume":"61","author":"Varghese","year":"2013"},{"key":"ref4","series-title":"J Neurosci Rural Pract","first-page":"488","article-title":"Scrub typhus meningoencephalitis, a diagnostic challenge for clinicians: a hospital based study from north-east India","volume":"6","author":"Jamil","year":"2015"},{"key":"ref5","series-title":"J Clin Neurol","first-page":"36","article-title":"Polyneuropathy and cerebral infarction complicating scrub typhus","volume":"4","author":"Kim","year":"2008"},{"key":"ref6","series-title":"Clin Infect Dis","first-page":"436","article-title":"Central nervous system involvement in patients with scrub typhus","volume":"24","author":"Pai","year":"1997"},{"key":"ref7","series-title":"Diagn Microbiol Infect Dis","first-page":"237","article-title":"Acute transverse myelitis associated with scrub typhus: case report and a review of literatures","volume":"60","author":"Lee","year":"2008"},{"key":"ref8","series-title":"J Vector Borne Dis","first-page":"84","article-title":"Scrub typhus with longitudinally extensive transverse myelitis","volume":"53","author":"Mahajan","year":"2016"},{"key":"ref9","series-title":"Neurology","first-page":"499","article-title":"Proposed diagnostic criteria and nosology of acute transverse myelitis","volume":"59","author":"Transverse Myelitis Consortium Working Group","year":"2002"},{"key":"ref10","series-title":"Semin Neurol","first-page":"105","article-title":"An approach to the diagnosis of acute transverse myelitis","volume":"28","author":"Jacob","year":"2008"},{"key":"ref11","series-title":"Treatment of Pediatric Neurologic Disorders","article-title":"Acute transverse myelitis","author":"Kerr","year":"2005"},{"key":"ref12","series-title":"N Engl J Med","first-page":"2455","article-title":"Images in clinical medicine. 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