Scrub Typhus Presenting with Bilateral Lateral Rectus Palsy in A Female OD16-OD17
Dr. Tony Ete,
Senior Resident, Department of General Medicine, North Eastern Indira Gandhi Regional Institute of Health and
Medical Sciences, Shillong, Meghalaya, India.
E-mail : firstname.lastname@example.org
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.