Reversible Unilateral Abducens Nerve Palsy in a patient with Scrub Typhus - A Clinical Diagnostic Dilemma

A Clinical Diagnostic Dilemma.

  • Rahul Choudhary Department of Paediatrics, NDMC Medical College and Hindu Rao Hospital, Delhi, India
  • Gaurav Katoch Department of Paediatrics, NDMC Medical College and Hindu Rao Hospital, Delhi, India
  • Garima Sachdeva Department of Obstetrics and Gynaecology, NDMC Medical College and Hindu Rao Hospital, Delhi, India
  • Sweta Kushwah Department of Obstetrics and Gynaecology, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India
Keywords: Scrub Typhus, OrientiaTsutsugamushi, Rickettsia, Doxycycline, Chiggers, Trombiculid mites

Abstract

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.

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Author Biographies

Rahul Choudhary, Department of Paediatrics, NDMC Medical College and Hindu Rao Hospital, Delhi, India

Senior Resident

Garima Sachdeva, Department of Obstetrics and Gynaecology, NDMC Medical College and Hindu Rao Hospital, Delhi, India

 Senior Resident

Published
2020-12-15
How to Cite
Choudhary, R., Katoch, G., Sachdeva, G., & Kushwah, S. (2020). Reversible Unilateral Abducens Nerve Palsy in a patient with Scrub Typhus - A Clinical Diagnostic Dilemma. Journal of Nepal Paediatric Society, 40(3), 278-281. https://doi.org/10.3126/jnps.v40i3.29468
Section
Case Reports