title: Scrub Typhus Presenting with Bilateral Lateral Rectus Palsy in A Female.
abstract: 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.
authors.affiliation: Senior Resident, Department of General Medicine, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences , Shillong, Meghalaya, India .
authors.forename: Tony
authors.initials: T
authors.lastname: Ete
authors.affiliation: Associate Professor, Department of Pathology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences , Shillong, Meghalaya, India .
authors.forename: Jaya
authors.initials: J
authors.lastname: Mishra
authors.affiliation: Assistant Professor, Department of General Medicine, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences , Shillong, Meghalaya, India .
authors.forename: Bhupen
authors.initials: B
authors.lastname: Barman
authors.affiliation: Post Doctoral Trainee, Department of Rheumatology, Institute of Post Graduate Medical Education and Research , Kolkata, West Bengal, India .
authors.forename: Sumantro
authors.initials: S
authors.lastname: Mondal
authors.affiliation: Senior Resident, Department of Cardiology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences , Shillong, Meghalaya, India .
authors.forename: Rondeep Kumar Nath
authors.initials: RK
authors.lastname: Sivam
keywords: Eschar; Orientia tsutsugamushi; Rickettsial disease