Acute cerebellar ataxia in a 3-year-old Bengali girl: a novel presentation of scrub typhus in pediatric age group

Scrub typhus is known to cause local and systemic vasculitic response in almost all the systems of the body. In central nervous system it most commonly causes meningitis and encephalitis although several other atypical presentations have been documented. We present a case of a 3 years old child presenting with fever and isolated acute cerebellitis. Serum showed IgM antibodies to scrub typhus by ELISA. MRI scan of brain also corroborated with clinical findings. Patient showed rapid response to doxycycline therapy.