title: Fever, a blue hand, and abducens nerve paralysis in a returning traveler.
abstract: 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.
authors.affiliation: Addenbrooke's Hospital, University of Cambridge Teaching Hospital NHS Trust, Cambridge, UK. egkraniaklotsas@nhs.net
authors.forename: Effrossyni
authors.initials: E
authors.lastname: Gkrania-Klotsas
authors.forename: Fiona J
authors.initials: FJ
authors.lastname: Cooke
authors.forename: Vasileios
authors.initials: V
authors.lastname: Zochios
authors.forename: Nikoletta
authors.initials: N
authors.lastname: Lofitou
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents