Publication: Reversible Unilateral Abducens Nerve Palsy in a patient with Scrub Typhus - A Clinical Diagnostic Dilemma
Date
2020
Article Type
Case Report
Journal Title
Journal ISSN
ISSN 1990-7974 eISSN 1990-7982
Volume Title
Pages
Pages: 278 - 281
Publisher
Nepal Paediatric Society (JNPS)
Abstract
Abstract:
Scrub typhus is an acute febrile rickettsial disease caused by Orientia tsutsugamushi. It infects endothelial cells and causes vasculitis, the predominant clinico-pathological feature of the disease. This results in disseminated inflammatory perivascular lesions leading to damage to the blood vessels affecting multiple end organs. Abducens nerve palsy is a known but extremely rare and reversible complication of scrub typhus. We present a case of scrub typhus with sixth cranial nerve involvement which responded to treatment with doxycycline.
Description
Rahul Choudhary
Department of Paediatrics, NDMC Medical College and Hindu Rao Hospital, Delhi, India
Gaurav Katoch
Department of Paediatrics, NDMC Medical College and Hindu Rao Hospital, Delhi, India
Garima Sachdeva
Department of Obstetrics and Gynaecology, NDMC Medical College and Hindu Rao Hospital, Delhi, India
Sweta Kushwah
Department of Obstetrics and Gynaecology, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India
Keywords
Scrub Typhus, OrientiaTsutsugamushi, Rickettsia, Doxycycline, Chiggers, Trombiculid mites
Identifier
https://doi.org/10.3126/jnps.v40i3.29468