Scrub Typhus with Acute Bilateral Cerebellar Ataxia: A Rare Presentation

Abstract

Scrub typhus, also known as Bush typhus, is a zoonotic infectious disease predominantly affecting rural and semi urban
areas. It is caused by the bacterium Orientia tsutsugamushi. Scrub typhus is predominantly seen in monsoon and post-monsoon
seasons. It a vector-borne disease and has a varying clinical presentation ranging from mild acute febrile illness to lifethreatening multiorgan dysfunction. Neurological manifestations can occur in the form of meningitis, meningoencephalitis,
polyneuritis cranialis, intracerebral hemorrhage; rarely, it can cause cerebellar dysfunction. Herein, we report a case of acute
bilateral cerebellar ataxia, one of the rare neurological complications of scrub typhus.