A Case Report on Transverse Myelitis

Scrub typhus is known to cause central nervous system involvement, which can show as meningitis or meningoencephalitis. However, relatively few reports of acute transverse myelitis (ATM), a spinal cord lesion, have been linked to scrub typhus. Patients with a spinal lesion and scrub typhus have neurologic symptoms such as dysuria and sensory and motor impairment. Here, we report on an uncommon instance of ATM linked to scrub typhus. The diagnosis of ATM linked with scrub typhus was made based on the patient’s clinical features, cerebral fluid cytology, Orientia tsutsugamushi serum antibody titer, and several magnetic resonance imaging scans.