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Scrub typhus and lateral rectus palsy: an uncommon presentation of a common illness.
BMJ Case Rep. 2021 May 31; 14(5)BC

Abstract

Scrub typhus is a zoonosis, which usually manifests as an acute febrile illness. It is caused by a rickettsia, Orientia tsutsugamushi, which is endemic in the Asian region. It can present with varied clinical manifestations, ranging from acute febrile illness to life-threatening multiorgan dysfunction syndrome. Central nervous system involvement in the form of altered sensorium and/or meningitis is frequently observed in scrub typhus. However, isolated cranial nerve involvement is uncommon and so far only a few such cases have been reported in the literature. We present a rare case of scrub typhus with fever and diplopia at presentation, which completely improved with doxycycline-based treatment.

Authors+Show Affiliations

Internal Medicine, Civil Hospital, Baddi, Distt Solan, Distt Bilaspur, India.Department of Internal Medicine, PGIMER, Chandigarh, India.Internal Medicine, Army Hospital Research and Referral, New Delhi, India mishrak20@gmail.com.Radiotherapy and Oncology, Indira Gandhi Medical College Cancer Hospital, Shimla, India.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

34059539

Citation

Chauhan, Ajay, et al. "Scrub Typhus and Lateral Rectus Palsy: an Uncommon Presentation of a Common Illness." BMJ Case Reports, vol. 14, no. 5, 2021.
Chauhan A, Jandial A, Mishra K, et al. Scrub typhus and lateral rectus palsy: an uncommon presentation of a common illness. BMJ Case Rep. 2021;14(5).
Chauhan, A., Jandial, A., Mishra, K., & Sandal, R. (2021). Scrub typhus and lateral rectus palsy: an uncommon presentation of a common illness. BMJ Case Reports, 14(5). https://doi.org/10.1136/bcr-2020-240882
Chauhan A, et al. Scrub Typhus and Lateral Rectus Palsy: an Uncommon Presentation of a Common Illness. BMJ Case Rep. 2021 May 31;14(5) PubMed PMID: 34059539.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Scrub typhus and lateral rectus palsy: an uncommon presentation of a common illness. AU - Chauhan,Ajay, AU - Jandial,Aditya, AU - Mishra,Kundan, AU - Sandal,Rajeev, Y1 - 2021/05/31/ PY - 2023/05/31/pmc-release PY - 2021/6/1/entrez PY - 2021/6/2/pubmed PY - 2021/6/3/medline KW - infection (neurology) KW - infections KW - tropical medicine (infectious disease) JF - BMJ case reports JO - BMJ Case Rep VL - 14 IS - 5 N2 - Scrub typhus is a zoonosis, which usually manifests as an acute febrile illness. It is caused by a rickettsia, Orientia tsutsugamushi, which is endemic in the Asian region. It can present with varied clinical manifestations, ranging from acute febrile illness to life-threatening multiorgan dysfunction syndrome. Central nervous system involvement in the form of altered sensorium and/or meningitis is frequently observed in scrub typhus. However, isolated cranial nerve involvement is uncommon and so far only a few such cases have been reported in the literature. We present a rare case of scrub typhus with fever and diplopia at presentation, which completely improved with doxycycline-based treatment. SN - 1757-790X UR - https://www.unboundmedicine.com/medline/citation/34059539/Scrub_typhus_and_lateral_rectus_palsy:_an_uncommon_presentation_of_a_common_illness_ DB - PRIME DP - Unbound Medicine ER -