{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,21]],"date-time":"2025-09-21T17:43:00Z","timestamp":1758476580676,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,8,15]]},"abstract":"<jats:p>A 17-year-old young woman presented to Patan Hospital, Kathmandu, Nepal, with high-grade fever and headache for 4\u2009days and non-projectile vomiting for 1\u2009day. She also had blurred vision with dizziness on and off. There was no abnormal physical finding. Enteric fever was suspected, and she was empirically started on azithromycin (20\u2009mg\/kg) for 7 days. She became afebrile after 2 days and was followed up in 7 days with diplopia since 5 days. At this time, the blood culture was positive for <jats:italic>Salmonella<\/jats:italic> serovar typhi. On examination, there was isolated left lateral rectus palsy which accounted for her diplopia. Methylprednisolone (1\u2009mg\/kg) was prescribed which was tapered over 1\u2009month and gradually her diplopia subsided. We hypothesise that vasculitic change in the blood vessel supplying the left abducens nerve could be causing the diplopia.<\/jats:p>","DOI":"10.1136\/bcr-2018-225746","type":"journal-article","created":{"date-parts":[[2018,9,4]],"date-time":"2018-09-04T10:38:59Z","timestamp":1536057539000},"page":"bcr-2018-225746","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Typhoid fever with isolated left lateral rectus palsy"],"prefix":"10.1136","volume":"2018","author":[{"given":"Abishkar","family":"Thapa","sequence":"first","affiliation":[{"name":"Oxford University Clinical Research Unit, Patan Hospital, Lalitpur, Province - 3, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy","family":"Mittal","sequence":"additional","affiliation":[{"name":"Oxford University Clinical Research Unit, Patan Hospital, Lalitpur, Province - 3, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gyan","family":"Kayastha","sequence":"additional","affiliation":[{"name":"Medicine, Patan Academy of Health Sciences, Kathmandu, Province - 3, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3511-2654","authenticated-orcid":false,"given":"Buddha","family":"Basnyat","sequence":"additional","affiliation":[{"name":"Oxford University Clinical Research Unit, Patan Hospital, Lalitpur, Province - 3, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,9,4]]},"reference":[{"key":"2025082803531913000_2018.sep03_1.bcr-2018-225746.1","doi-asserted-by":"crossref","unstructured":"Parry CM , Basnyat B . Oxford textbook of medicine. 5th ed. USA: oxford university press, 2010:739\u201343.","DOI":"10.1093\/med\/9780199204854.003.070608"},{"key":"2025082803531913000_2018.sep03_1.bcr-2018-225746.2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra020201"},{"key":"2025082803531913000_2018.sep03_1.bcr-2018-225746.3","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.14-0709"},{"key":"2025082803531913000_2018.sep03_1.bcr-2018-225746.4","first-page":"56","article-title":"Diplopia Caused by Salmonella enteritidis Infection","volume":"14","author":"Arun","year":"2015","journal-title":"IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)"},{"key":"2025082803531913000_2018.sep03_1.bcr-2018-225746.5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1708-8305.2008.00262.x"},{"key":"2025082803531913000_2018.sep03_1.bcr-2018-225746.6","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(15)00530-7"},{"key":"2025082803531913000_2018.sep03_1.bcr-2018-225746.7","doi-asserted-by":"crossref","first-page":"2419","DOI":"10.1016\/S0140-6736(17)32407-8","article-title":"Typhoid vaccine development with a human challenge model","volume":"390","author":"Feasey","year":"2017","journal-title":"Lancet"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-225746","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:53:28Z","timestamp":1756378408000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-225746"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,9,4]]},"references-count":7,"alternative-id":["10.1136\/bcr-2018-225746"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-225746","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,9,4]]}}}