Abducens Nerve Palsy and Meningitis by Rickettsia typhi

Wai Lun Moy Department of General Medicine, Khoo Teck Puat Hospital, Singapore

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Say Tat Ooi Department of General Medicine, Khoo Teck Puat Hospital, Singapore

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Patients with rickettsial infection may present with encephalitis or meningitis but neurologic involvement is rare in murine typhus. Here, we report two patients with Rickettsia typhi meningitis who presented with cranial neuropathy, presumably caused by two distinct disease processes. Recognition of the disease manifestations is important because rickettsial infections are potentially associated with significant morbidity. Simple effective treatments are available.

Author Notes

* Address correspondence to Wai Lun Moy, Department of General Medicine, Khoo Teck Puat Hospital, 90 Yishun Central, Singapore 768828. E-mail: wailun.moy@mohh.com.sg

Authors' addresses: Wai Lun Moy and Say Tat Ooi, Department of General Medicine, Khoo Teck Puat Hospital, Singapore, E-mails: wailun.moy@mohh.com.sg and ooi.say.tat@alexandrahealth.com.sg.

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