Title: A Case of Acute Motor-Sensory Axonal Neuropathy after Enteric Fever
Authors: Dr Rahul Arya, Dr Prabal Rajvanshi, Dr Benrithung Ngullie, Dr Dipankar Das, Rahul Arora, Dr Akash Jain
DOI: https://dx.doi.org/10.18535/jmscr/v6i2.134
Abstract
We report here a case of enteric fever, which was complicated by Acute Motor Sensory Axonal Neuropathy. A 27-year old man admitted to our hospital with high grade fever and progressive muscle weakness and sensory loss. On evaluation, the patient was diagnosed to have enteric fever. The blood culture was positive for S.typhi. Cerebrospinal fluid analysis showed albumino-cytologic dissociation and nerve conduction velocity test suggested a sensory-motor demyelinating polyneuropathy. Patient was diagnosed with enteric fever complicated with AMSAN and was treated with intravenous immunoglobulin and antibiotics. After 15 days of hospital stay, patient recovered significantly with minimal residual deficit. The clinical course, prognosis and the outcome of neuropathic symptoms of AMSAN following enteric fever were relatively good in our case.
This case report is to highlight a rare neurological complication of enteric fever that is of particular importance to clinicians.
