Publication:

A rare clinical case of subdural hemorrhage in a patient with scrub typhus

Scrub typhus is a common infectious disease with a self-limiting course but may potentially cause a fatal outcome in some cases. We here present a case report of a patient diagnosed with scrub typhus and was given effective antibiotic therapy. Initially, the patient improved significantly but had sudden clinical deterioration on day five and presented with subdural hemorrhage. Orientia tsutsugamushi the causative agent of scrub typhus may be considered as a causal or provoking factor for cerebrovascular accidents in regions where scrub typhus is endemic. Patients should be followed strictly during convalescence in such cases especially in those who have received delayed treatment.