Acute Cerebellar Ataxia in a Case of Enteric Fever

Isolated acute cerebellar ataxia is a rare neurological complication of enteric fever. It usually presents with speech and gait abnormalities. Cerebellar ataxia is generally masked by various other neurological complications, such as delirium. Here, we report a case of a 24-year-old male with no known comorbidities, who presented with complaints of high-grade fever, slurred speech, and unsteady gait, which was broad based. He also had abnormal cerebellar signs. Initial laboratory investigations showed thrombocytopenia, and blood cultures detected Salmonella Typhi. cerebrospinal fluid (CSF) examination and brain imaging were unremarkable. The patient recovered with ceftriaxone, and a final diagnosis of enteric fever with encephalopathy was made.