Bilateral abducens nerve palsy secondary to typhoid fever in remote area: A case report

Abstract

Neurological manifestation is a potential complication related to typhoid fever. Isolated cranial nerve palsy in typhoid fever is extremely rare with no specific guidelines regarding the management of cranial nerve palsy in typhoid fever. We report a 28-year-old woman who was admitted with a 7-day history of dizziness, headache, and binocular diplopia. She had a history of hospitalization due to typhoid fever two weeks earlier. Examination of her eyes showed bilateral abducens nerve palsy. Her head CT scan with contrast showed no radiologic abnormalities. There was improvement after intravenous dexamethasone and oral prednisone administration. Although most cases of typhoid fever are uncomplicated, patient may present to the neurologist or ophthalmologist with neurological and ocular symptoms.