A Case of Scrub Typhus Related Encephalopathy Presenting as Rapidly Progressive Dementia
Identifieur interne : 000F23 ( Main/Exploration ); précédent : 000F22; suivant : 000F24A Case of Scrub Typhus Related Encephalopathy Presenting as Rapidly Progressive Dementia
Auteurs : Jeong Hoon Park [Corée du Sud] ; Jae-Won Jang [Corée du Sud] ; Seung-Hwan Lee [Corée du Sud] ; Won Sup Oh [Corée du Sud] ; Sam Soo Kim [Corée du Sud]Source :
- Dementia and Neurocognitive Disorders [ 1738-1495 ] ; 2017.
Abstract
An infection known to be a major cause of mild encephalitis/encephalopathy with a reversible splenial lesion (MERS). Rapidly progressive dementia is a neurological condition in which dementia progresses in a short period of time.
We report on a 78-year-old woman presenting with a rapid decline in cognitive function resulting from a scrub typhus infection. Diffusion weighted images showed a signal intensity at the splenium, and subcortical white matter of both hemispheres suggesting MERS. On the neuropsychological test, the patient showed frontal executive dysfunction.
This case suggests that diagnosticians should consider the possibility that a MERS patient with a rapidly cognitive decline could have a scrub typhus infection because early diagnosis of scrub typhus is very important in this aspect of the treatment.
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DOI: 10.12779/dnd.2017.16.3.83
PubMed: 30906376
PubMed Central: 6427984
Affiliations:
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Jang</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Neurology, Kangwon National University Hospital, Chuncheon,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Lee, Seung Hwan" sort="Lee, Seung Hwan" uniqKey="Lee S" first="Seung-Hwan" last="Lee">Seung-Hwan Lee</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Neurology, Kangwon National University Hospital, Chuncheon,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">Department of Neurology, Kangwon National University School of Medicine, Chuncheon,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Oh, Won Sup" sort="Oh, Won Sup" uniqKey="Oh W" first="Won Sup" last="Oh">Won Sup Oh</name><affiliation wicri:level="1"><nlm:aff id="A3">Department of Internal Medicine, Kangwon National University School of Medicine, Chuncheon,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kim, Sam Soo" sort="Kim, Sam Soo" uniqKey="Kim S" first="Sam Soo" last="Kim">Sam Soo Kim</name><affiliation wicri:level="1"><nlm:aff id="A4">Department of Radiology, Kangwon National University School of Medicine, Chuncheon,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Dementia and Neurocognitive Disorders</title><idno type="ISSN">1738-1495</idno><idno type="eISSN">2384-0757</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>An infection known to be a major cause of mild encephalitis/encephalopathy with a reversible splenial lesion (MERS). Rapidly progressive dementia is a neurological condition in which dementia progresses in a short period of time.</p></sec><sec><title>Case Report</title><p>We report on a 78-year-old woman presenting with a rapid decline in cognitive function resulting from a scrub typhus infection. Diffusion weighted images showed a signal intensity at the splenium, and subcortical white matter of both hemispheres suggesting MERS. On the neuropsychological test, the patient showed frontal executive dysfunction.</p></sec><sec><title>Conclusions</title><p>This case suggests that diagnosticians should consider the possibility that a MERS patient with a rapidly cognitive decline could have a scrub typhus infection because early diagnosis of scrub typhus is very important in this aspect of the treatment.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Tada, H" uniqKey="Tada H">H Tada</name></author><author><name sortKey="Takanashi, J" uniqKey="Takanashi J">J Takanashi</name></author><author><name sortKey="Barkovich, Aj" uniqKey="Barkovich A">AJ Barkovich</name></author><author><name sortKey="Oba, H" uniqKey="Oba H">H Oba</name></author><author><name sortKey="Maeda, M" uniqKey="Maeda M">M Maeda</name></author><author><name sortKey="Tsukahara, H" uniqKey="Tsukahara H">H Tsukahara</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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sort="Lee, Seung Hwan" uniqKey="Lee S" first="Seung-Hwan" last="Lee">Seung-Hwan Lee</name><name sortKey="Oh, Won Sup" sort="Oh, Won Sup" uniqKey="Oh W" first="Won Sup" last="Oh">Won Sup Oh</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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