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

Rahul Choudhary, Gaurav Katoch, Garima Sachdeva, Sweta Kushwah
2020 Journal of Nepal Paediatric Society  
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
more » ... l nerve involvement which responded to treatment with doxycycline.
doi:10.3126/jnps.v40i3.29468 fatcat:edsmzrm4e5d5nircbhu6dtixpa