Open AccessScrub Typhus Presenting with Bilateral Lateral Rectus Palsy in A Female
Author(s) -
Tony Ete,
Jaya Mishra,
Bhupen Barman,
Sumantro Mondal,
Rondeep Kumar Nath Sivam
Publication year - 2016
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2016/18177.7617
Subject(s) - eschar , scrub typhus , medicine , maculopapular rash , dermatology , surgery , rash , palsy , differential diagnosis , typhus , pediatrics , pathology , virology , alternative medicine
Scrub typhus, a rickettsial disease is endemic in several parts of India usually presenting with acute symptoms. Fever, maculopapular rash, eschar, history of tick exposure and supportive diagnostic tests usually leads to diagnosis. Scrub typhus should be included in the differential diagnosis in occasions when a patient presents with fever with or without eschar and isolated cranial nerve palsy. Here we are reporting a case of Scrub typhus who presented with fever and altered sensorium of short duration, eschar formation and bilateral lateral rectus palsy. Patient was treated with doxycycline with complete reversal of neurodeficit.