Abstract
Abstract. Three patients diagnosed with scrub typhus through serology and polymerase chain reaction tests, experienced delayed administration of effective antibiotics after the appearance of symptoms, presented with subdural hemorrhage, intracerebral hemorrhage, or cerebral infarction in the late acute phase. Orientia tsutsugamushi should be considered as a causal or provoking factor for cerebrovascular accidents in regions where scrub typhus is endemic, especially in those who receive delayed treatment.
Publication types
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Case Reports
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Research Support, Non-U.S. Gov't
MeSH terms
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Aged
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Aged, 80 and over
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Anti-Bacterial Agents / therapeutic use
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Brain / diagnostic imaging
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Cerebral Hemorrhage / etiology
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Cerebral Hemorrhage / microbiology
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Cerebral Infarction / etiology
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Cerebral Infarction / microbiology
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Cerebrovascular Disorders / etiology*
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Cerebrovascular Disorders / microbiology
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Delayed Diagnosis
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Fatal Outcome
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Female
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Hematoma, Subdural / etiology
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Hematoma, Subdural / microbiology
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Humans
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Male
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Middle Aged
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Neuroimaging
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Orientia tsutsugamushi
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Republic of Korea
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Scrub Typhus / complications*
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Scrub Typhus / diagnosis
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Scrub Typhus / drug therapy
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Tomography, X-Ray Computed