Scrub typhus

A bacterial infection caused by Rickettsia typhi or Rickettsia felis. It is transmitted to humans from infected rat fleas. Symptoms include fever, headache, joint and muscle pain, and weakness.

Disease Alternative Name

endemic typhus
endemic typhus fever
endemic flea-borne typhus
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Concluded Case

How common is Trochlear nerve palsy

Paresis of right superior oblique muscle, post -infectious cranial neuropathy. Patient presented with diplopia on downwa...See More

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Concluded answer

Diplopia while getting down staircase (looking down)is characteristic of 4th nerve palsy). But isolated 4th cranial nerve palsy is rare. Its an interesting case.The action of the nerve is looking downwards and inwards.


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