Reversible Unilateral Abducens Nerve Palsy in a patient with Scrub Typhus - A Clinical Diagnostic Dilemma
A Clinical Diagnostic Dilemma.
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.
Copyright (c) 2020 Rahul Choudhary, Gaurav Katoch, Garima Sachdeva, Sweta Kushwah
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