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Abducens nerve palsy in a patient with scrub typhus: a case report.
Trop Biomed. 2013 Dec; 30(4):706-9.TB

Abstract

Abducens nerve palsy is a known but rare complication of a few bacterial and viral infections like Mycoplasma pneumonia, cytomegalovirus, Epstein-Barr virus, Hanta virus, herpes zoster, and measles. Abducens nerve palsy due to scrub typhus is extremely rare and so far only one case has been reported in the literature. Scrub typhus is a febrile illness caused by rickettsia, Orientia tsutsugamushi, a gram negative intracellular obligate parasite which is endemic in Asia. This disease can present with wide range of clinical manifestations with involvement of any organ system, alone or in combination. Central nervous system involvement is very common and includes meningism, altered sensorium to focal neurological deficits. We present a rare manifestation of Scrub typhus in the form of sixth cranial nerve involvement which responded to the treatment with doxycycline.

Authors+Show Affiliations

Indira Gandhi Medical College, Department of Pulmonary Medicine and Tuberculosis Shimla, Himachal Pradesh, India: 171001.Department of Cardiology, Indira Gandhi Medical College Shimla, India.Department of Radiation Oncology, Health Care Global-Bangalore Institute of Oncology, Bengaluru, Karnataka, India.Pulmonary Medicine & Critical Care, Internal Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, USA.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

24522141

Citation

Bhardwaj, B, et al. "Abducens Nerve Palsy in a Patient With Scrub Typhus: a Case Report." Tropical Biomedicine, vol. 30, no. 4, 2013, pp. 706-9.
Bhardwaj B, Panda P, Revannasiddaiah S, et al. Abducens nerve palsy in a patient with scrub typhus: a case report. Trop Biomed. 2013;30(4):706-9.
Bhardwaj, B., Panda, P., Revannasiddaiah, S., & Bhardwaj, H. (2013). Abducens nerve palsy in a patient with scrub typhus: a case report. Tropical Biomedicine, 30(4), 706-9.
Bhardwaj B, et al. Abducens Nerve Palsy in a Patient With Scrub Typhus: a Case Report. Trop Biomed. 2013;30(4):706-9. PubMed PMID: 24522141.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Abducens nerve palsy in a patient with scrub typhus: a case report. AU - Bhardwaj,B, AU - Panda,P, AU - Revannasiddaiah,S, AU - Bhardwaj,H, PY - 2014/2/14/entrez PY - 2014/2/14/pubmed PY - 2014/10/7/medline SP - 706 EP - 9 JF - Tropical biomedicine JO - Trop Biomed VL - 30 IS - 4 N2 - Abducens nerve palsy is a known but rare complication of a few bacterial and viral infections like Mycoplasma pneumonia, cytomegalovirus, Epstein-Barr virus, Hanta virus, herpes zoster, and measles. Abducens nerve palsy due to scrub typhus is extremely rare and so far only one case has been reported in the literature. Scrub typhus is a febrile illness caused by rickettsia, Orientia tsutsugamushi, a gram negative intracellular obligate parasite which is endemic in Asia. This disease can present with wide range of clinical manifestations with involvement of any organ system, alone or in combination. Central nervous system involvement is very common and includes meningism, altered sensorium to focal neurological deficits. We present a rare manifestation of Scrub typhus in the form of sixth cranial nerve involvement which responded to the treatment with doxycycline. SN - 2521-9855 UR - https://www.unboundmedicine.com/medline/citation/24522141/Abducens_nerve_palsy_in_a_patient_with_scrub_typhus:_a_case_report_ L2 - http://www.msptm.org/files/706_-_709_Bhardwaj_B.pdf DB - PRIME DP - Unbound Medicine ER -