Scrub typhus infection Presenting as Pancerebellar Ataxia

Pancerebellar ataxia is a syndrome characterised by bilateral signs of cerebellar dysfunction involving trunk, limb and cranial musculature. We describe an adult female presenting with this syndrome following a febrile illness diagnosed as scrub typhus fever. Since majority of the cases of cerebellitis has been described in children, we highlight this case where the patient presented with an acute onset of tremulousness, imbalance and instability involving all the limbs and trunk, with ocular signs on examination. The parainfectious syndrome was recognised and immediately investigated and started on treatment. Patient made an excellent recovery and became self-ambulatory.