Acta Scientific Microbiology (ASMI) (ISSN: 2581-3226)

Case Report Volume 3 Issue 1

Sixth Nerve Palsy Post Chikungunya Virus Infection- A Rare Case

Reena Gupta*, Sandhya, Chekitaan and Ankita

RIO, Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India

*Corresponding Author: Reena Gupta, RIO, Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.

Received: December 23, 2019; Published: December 31, 2019

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Abstract

Purpose: Ocular involvement in chikungunya fever is uncommon finding. We describe the clinical presentation and management of ocular manifestation in a 60 year old male post chikungunya viral infection.

Observation: 60 years male, normotensive, developed hyperglycemia post chikungunya fever, reported with acute, painless horizontal binocular diplopia mainly in primary gaze and left lateral gaze for distance and near with limitation of abduction in left eye with no neurological deficit. Clinical examination was suggestive of isolated sixth nerve palsy. Chikungunya virus serology was found to be positive.

Conclusion: Delayed Immune mediated reaction to viremia may cause damage to sixth nerve, hence presenting as diplopia months after attack of chikungunya fever. Our case highlights the pathogenesis of chikungunya induced sixth nerve palsy and self-limiting course with good recovery.

Keywords: Sixth Nerve Palsy; Chikungunya Virus Infection

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References

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Citation

Citation: Reena Gupta., et al. “Sixth Nerve Palsy Post Chikungunya Virus Infection- A Rare Case". Acta Scientific Microbiology 3.1 (2020): 150-153.



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