Abstract

Scrub typhus caused by Orientia tsutsugamushi (formerly Rickettsia tsutsugamushi), a Gram-negative alpha proteobacterium, is a mite-borne disease. It is endemic in many parts of India. Clinical features include fever, headache, myalgia, cough, nausea, vomiting, morbilliform rash, eschar, and splenomegaly. Few instances of isolated cranial nerve palsy have been recorded in patients with scrub typhus. Here, we report a patient of scrub typhus with the right-sided lateral rectus palsy which was completely resolved with the antibiotic Doxycycline.

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