Orientia tsutsugamushi meningitis in a patient with tuberculous meningitis complications—a Case Report

Scrub typhus (ST) is caused by infection with Orientia tsutsugamushi, transmitted through chigger mite bites, resulting in a febrile disease. Clinical manifestations are complex and may be combined with other microbial infections. This report describes a rare case of scrub typhus meningitis and tube...

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Main Authors: Miao Tan, Hao Zou, MaiQing Yang, Anchun Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1591785/full
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author Miao Tan
Hao Zou
MaiQing Yang
Anchun Liu
author_facet Miao Tan
Hao Zou
MaiQing Yang
Anchun Liu
author_sort Miao Tan
collection DOAJ
description Scrub typhus (ST) is caused by infection with Orientia tsutsugamushi, transmitted through chigger mite bites, resulting in a febrile disease. Clinical manifestations are complex and may be combined with other microbial infections. This report describes a rare case of scrub typhus meningitis and tuberculous meningitis. The patient presented with fever and chills, and also exhibited a dull reaction upon admission. Timely diagnosis and appropriate antibiotic therapy are critical for preventing complications and reducing mortality. Next-generation sequencing (NGS) provided diagnostic clues, and the diagnosis of scrub typhus meningitis combined with tuberculous meningitis was quickly clarified. The patient’s symptoms were relieved after appropriate treatment. NGS can be a valuable diagnostic tool for detecting early clinical infections.
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language English
publishDate 2025-06-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Medicine
spelling doaj-art-04ff84964c9a41da8bdca1a91628af7b2025-08-20T02:20:40ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-06-011210.3389/fmed.2025.15917851591785Orientia tsutsugamushi meningitis in a patient with tuberculous meningitis complications—a Case ReportMiao Tan0Hao Zou1MaiQing Yang2Anchun Liu3Department of Infection, Yueyang Central Hospital, Yueyang, Hunan, ChinaDepartment of Radiotherapy, Yueyang Hospital of Traditional Chinese Medicine, Yueyang, Hunan, ChinaDepartment of Pathology, Weifang People’s Hospital (First Affiliated Hospital of Shandong Second Medical University), Weifang, Shandong, ChinaDepartment of Pathology, Yueyang Central Hospital, Yueyang, Hunan, ChinaScrub typhus (ST) is caused by infection with Orientia tsutsugamushi, transmitted through chigger mite bites, resulting in a febrile disease. Clinical manifestations are complex and may be combined with other microbial infections. This report describes a rare case of scrub typhus meningitis and tuberculous meningitis. The patient presented with fever and chills, and also exhibited a dull reaction upon admission. Timely diagnosis and appropriate antibiotic therapy are critical for preventing complications and reducing mortality. Next-generation sequencing (NGS) provided diagnostic clues, and the diagnosis of scrub typhus meningitis combined with tuberculous meningitis was quickly clarified. The patient’s symptoms were relieved after appropriate treatment. NGS can be a valuable diagnostic tool for detecting early clinical infections.https://www.frontiersin.org/articles/10.3389/fmed.2025.1591785/fullscrub typhusOrientia tsutsugamushi meningitistuberculous meningitisnext-generation sequencinga rare case
spellingShingle Miao Tan
Hao Zou
MaiQing Yang
Anchun Liu
Orientia tsutsugamushi meningitis in a patient with tuberculous meningitis complications—a Case Report
Frontiers in Medicine
scrub typhus
Orientia tsutsugamushi meningitis
tuberculous meningitis
next-generation sequencing
a rare case
title Orientia tsutsugamushi meningitis in a patient with tuberculous meningitis complications—a Case Report
title_full Orientia tsutsugamushi meningitis in a patient with tuberculous meningitis complications—a Case Report
title_fullStr Orientia tsutsugamushi meningitis in a patient with tuberculous meningitis complications—a Case Report
title_full_unstemmed Orientia tsutsugamushi meningitis in a patient with tuberculous meningitis complications—a Case Report
title_short Orientia tsutsugamushi meningitis in a patient with tuberculous meningitis complications—a Case Report
title_sort orientia tsutsugamushi meningitis in a patient with tuberculous meningitis complications a case report
topic scrub typhus
Orientia tsutsugamushi meningitis
tuberculous meningitis
next-generation sequencing
a rare case
url https://www.frontiersin.org/articles/10.3389/fmed.2025.1591785/full
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AT haozou orientiatsutsugamushimeningitisinapatientwithtuberculousmeningitiscomplicationsacasereport
AT maiqingyang orientiatsutsugamushimeningitisinapatientwithtuberculousmeningitiscomplicationsacasereport
AT anchunliu orientiatsutsugamushimeningitisinapatientwithtuberculousmeningitiscomplicationsacasereport