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Bickerstaff's brainstem encephalitis associated with typhoid fever.

¹Department of Neurology, K.L.E. Society's Hospital, Belgaum, Karnataka State, India.

Postgraduate Medical Journal

|November 1, 1991

Summary

Bacteriologically confirmed typhoid fever can lead to Bickerstaff

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Area of Science:

Neurology
Infectious Diseases
Immunology

Background:

Typhoid fever, a systemic infection caused by Salmonella Typhi, is known to have various neurological complications.
Bickerstaff's brainstem encephalitis (BBE) is a rare neurological disorder characterized by acute onset of ophthalmoplegia, ataxia, and altered consciousness.

Observation:

A 14-year-old boy presented with symptoms consistent with Bickerstaff's brainstem encephalitis.
The patient had a confirmed diagnosis of typhoid fever preceding the neurological syndrome.

Findings:

The case details the clinical presentation and neurological investigation results of a patient with co-occurring typhoid fever and BBE.
This presentation represents a rare neurological manifestation of typhoid fever.

Implications:

This case highlights the potential for Bickerstaff's brainstem encephalitis as a neuropsychiatric complication of typhoid fever.
Further research into the pathophysiology linking Salmonella Typhi infection and BBE is warranted.
Clinicians should consider BBE in the differential diagnosis of neurological syndromes in patients with typhoid fever.

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