Brachial Neuritis in Association With Scrub Typhus: A Rare Presentation

Sanjay Kumar Singh, Sudha Vidyasagar

Abstract: Scrub typhus can be associated with number of neurological conditions like, meningoencephalitis, Guillain barre syndrome etc. In literature, very few cases have been found to be associated with brachial plexopathy. Herein, we present a case report of 60 year old man who had scrub typhus with the unusual neurologic complication of brachial neuritis. The initial manifestations were fever, myalgia, flank pain and eschar. Laboratory reports showed high leucocyte count, low platelets and deranged liver and renal function tests. During stay in hospital, patient developed left shoulder pain, which was diagnosed to be brachial neuritis on electrophysiologic examination. He had a nearly complete recovery after adequate medical treatment.

Keywords: Scrub typhus, brachial neuritis, chigger, eschar, EMG