Fever, a blue hand, and abducens nerve paralysis in a returning traveler.
Fever, caused by Salmonella typhi, is the cause of significant morbidity worldwide. Extraintestinal manifestations of typhoid fever can confuse clinicians in Western countries, delaying diagnosis. We present an extraordinary case of typhoid fever, manifesting as hand cyanosis as well as abducens nerve paresis, all of which promptly resolved with antibiotics.
Gkrania-Klotsas
Effrossyni
E
Addenbrooke's Hospital, University of Cambridge Teaching Hospital NHS Trust, Cambridge, UK. egkraniaklotsas@nhs.net
Cooke
Fiona J
FJ
Zochios
Vasileios
V
Lofitou
Nikoletta
N
D020434:Abducens Nerve Diseases / Q000097:blood / Q000150:complications* / Q000382:microbiology*; D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D005260:Female; D005334:Fever; D006225:Hand / Q000503:physiopathology; D006801:Humans; D007194:India; D009390:Nepal; D010243:Paralysis / Q000097:blood / Q000150:complications* / Q000382:microbiology*; D012485:Salmonella typhi / Q000302:isolation & purification; D014195:Travel; D016896:Treatment Outcome; D014435:Typhoid Fever / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology
D000900:Anti-Bacterial Agents