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"Facial palsy; Facial neuritis; Scrub typhus"

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"Facial palsy; Facial neuritis; Scrub typhus"

Case Report
Facial diplegia as a delayed complication of scrub typhus
Jong Gyu Baek, Hyo Lim Hong, Jae Han Park
Ann Clin Neurophysiol 2019;21(2):98-101.   Published online July 31, 2019
DOI: https://doi.org/10.14253/acn.2019.21.2.98
A 64-year-old man presented with facial diplegia occurring 2 weeks after scrub typhus diagnosis. The serum scrub typhus antibody titer was elevated to 1:5120. Brain magnetic resonance imaging revealed contrast-enhancement of the signal for both facial nerves. He was administered prednisolone. After two weeks, the symptoms improved, and after one month, he completely recovered from facial diplegia. This is the first case in the literature in which the patient exhibited facial diplegia, a delayed complication, in scrub typhus. Facial diplegia should be considered a type of cranial nerve palsy that may occur as a delayed complication of scrub typhus.
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