Bhardwaj B, Panda P, Revannasiddaiah S, Bhardwaj H
Indira Gandhi Medical College, Department of Pulmonary Medicine and Tuberculosis Shimla, Himachal Pradesh, India: 171001.
Department of Cardiology, Indira Gandhi Medical College Shimla, India.
Trop Biomed. 2013 Dec;30(4):706-9.
Abducens nerve palsy is a known but rare complication of a few bacterial and viral infections like Mycoplasma pneumonia, cytomegalovirus, Epstein-Barr virus, Hanta virus, herpes zoster, and measles. Abducens nerve palsy due to scrub typhus is extremely rare and so far only one case has been reported in the literature. Scrub typhus is a febrile illness caused by rickettsia, Orientia tsutsugamushi, a gram negative intracellular obligate parasite which is endemic in Asia. This disease can present with wide range of clinical manifestations with involvement of any organ system, alone or in combination. Central nervous system involvement is very common and includes meningism, altered sensorium to focal neurological deficits. We present a rare manifestation of Scrub typhus in the form of sixth cranial nerve involvement which responded to the treatment with doxycycline.
外展神经麻痹是支原体肺炎、巨细胞病毒、EB病毒、汉坦病毒、带状疱疹和麻疹等一些细菌和病毒感染已知但罕见的并发症。恙虫病所致的外展神经麻痹极为罕见，迄今为止文献中仅报道过1例。恙虫病是由立克次体属的恙虫病东方体引起的一种发热性疾病，恙虫病东方体是一种革兰氏阴性细胞内专性寄生虫，在亚洲流行。这种疾病可表现出广泛的临床表现，可累及任何器官系统，单独或合并出现。中枢神经系统受累很常见，包括脑膜刺激征、意识改变至局灶性神经功能缺损。我们报告了1例以第六脑神经受累为表现形式的罕见恙虫病病例，该病例经强力霉素治疗后好转。
