Cranial Nerve Palsy and Diplopia in Typhoid Fever: Case Report

Reza Taslimi; Taha Bayat; Behshad Pazook; Seyed Ali Nabipoorashrafi

doi:10.18502/crcp.v7i4.11601

Reza Taslimi Department of Internal Medicine, Division of Gastroenterology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
Taha Bayat Iranian Medical Students’ Association (IMSA-Iran), Students’ Scientific Research Center (SSRC), Tehran University of Medical Sciences, Tehran, Iran.
Behshad Pazook Department of Internal Medicine, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
Seyed Ali Nabipoorashrafi Department of Internal Medicine, Iran University of Medical Sciences, Tehran, Iran.

DOI: https://doi.org/10.18502/crcp.v7i4.11601

Keywords: Salmonella typhi; Diplopia; Abducens nerve; Typhoid fever

Abstract

Salmonella typhi is the cause of an acute febrile illness with high morbidity and mortality, especially in countries with poor sanitation. Neurological complications of salmonella are severe and usually under-diagnosed. This article reports an extremely rare case of a woman with typhoid fever with a history of travel and consumption of raw fish. She had no sign of meningitis but developed diplopia and sixth nerve palsy, which was ultimately resolved by antibiotic therapy.