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Ann Clin Neurophysiol > Volume 21(2); 2019 > Article
Ann Clin Neurophysiol. 2019; 21(2): 98-101.
Published online July 31, 2019.
doi: https://doi.org/10.14253/acn.2019.21.2.98
Facial diplegia as a delayed complication of scrub typhus
Jong Gyu Baek1  , Hyo Lim Hong2  , and Jae Han Park1 
1Department of Neurology, Catholic University of Daegu School of Medicine, Daegu, Korea
2Department of Internal Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea
Corresponding Author: Jae Han Park ,Tel: +82-53-650-3626, Fax: +82-53-654-9786, Email: jaehanpark@cu.ac.kr
Received October 17, 2018   Revised: December 21, 2018    Accepted December 23, 2018
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.
Key words: Facial palsy; Facial neuritis; Scrub typhus
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