A case of scrub typhus with acute myelitis

We describe a rare case of acute myelitis with scrub typhus. This acute febrile illness caused by orientia tsutsugamushi constitutes focal or disseminated vasculitis caused by the destruction of endothelial cells and the perivascular infiltration of leucocytes. The diagnosis of scrub typhus is based on the patients history of exposure, clinical features, and results of serologic testing. Our case indicates that Orientia tsutsugamushi can invade spinal cord. A high degree of clinical suspicion of scrub typhus allow early diagnosis and timely initiation of appropriate therapy, and thereby may help reduce patient morbidity and mortality