Cerebral venous sinus thrombosis presentation in severe scrub typhus infection: A rare entity

Abstract

Pulmonary edema, interstitial pneumonia, congestive heart failure, circulatory collapse, glomerulonephritis, and central nervous system (CNS) dysfunction, including confusion, delirium, and seizures. At admission, neurological examination revealed Glasgow Coma Scale (GCS) score of 11/15 (E3V3M5), bilateral papilloedema, paucity of right side movement with hypoesthesia, and an extensor plantar response on right side. Laboratory findings revealed thrombocytopenia (55,000/mm 3 ); hematuria, elevated creatinine (2.73 mg/dl); urea (62 mg/dl); elevated aspartate aminotransferase (183 IU/L) and alanine aminotransferase (79 IU/L); and serum Creatine phosphokinase and Lactate dehydrogenase were 20,842 U/L and 1906 U/L respectively.