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  • Title: Scrub typhus and cerebrovascular injury: a phenomenon of delayed treatment?
    Author: Chung JH, Yun NR, Kim DM, Lee JW, Yoon SH, Kim SW.
    Journal: Am J Trop Med Hyg; 2013 Jul; 89(1):119-22. PubMed ID: 23716407.
    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.
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