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Case Report

A Rare case of Miller Fisher Syndrome with Ophthalmoplegia with Bulbar Palsy with Bifacial Weakness with Progressive Quadriparesi

Priya Govil, Ritul Srivastava, Kishalay Datta

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Indian Journal of Emergency Medicine 8(2):p 61-65, April – June 2022. | DOI: https://doi.org/10.21088/ijem.2395.311X.8222.7

How Cite This Article:

Ritul Srivastava, Priya Govil, Kishalay Datta/A Rare Case of Leech Therapy Induced Right Foot and Leg Cellulitis with Septic Shock/Indian J Emerg Med 2022;8(2):61–65.

Timeline

Received : February 04, 2022         Accepted : March 07, 2022          Published : June 28, 2022

Abstract

A 20 years old female came to ED with c/o giddiness since 4 days, headache since 3 days with diplopia with slurring of speech, lower limb weakness, difficulty in swallowing, and dropping of left eyelid since 1 day. Patient had no any pre-existing comorbidity and not on any regular medication. Last menstrual period was on 5 days back. On examination Patient was vitally and haemodynamically stable. Diplopia on right sided distant vision present. Venous blood gas samples showed Hyponatremia. On CNS examination the Glasgow coma scale was 15/15 with power in upper and lower limb 5/5 bilaterally. There was no neck stiffness. Gag reflex present. Patient was taken immediately on symptomatic supportive treatment and admitted in Intensive care unit. Patient was planned for contrast enhanced MRI brain, lumbar puncture for CSF study, chest x-ray, ultrasound whole abdomen. Blood samples for complete haemogram and other relevant blood investigations with serum electrolytes sent for further study.

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Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

No conflicts of interest in this work.

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Cite this article

Ritul Srivastava, Priya Govil, Kishalay Datta/A Rare Case of Leech Therapy Induced Right Foot and Leg Cellulitis with Septic Shock/Indian J Emerg Med 2022;8(2):61–65.

Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.

Received Accepted Published
February 04, 2022 March 07, 2022 June 28, 2022
DOI: https://doi.org/10.21088/ijem.2395.311X.8222.7

Keywords

Miller Fisher SyndromeOphthalmoplegiaAnti GQ1b antibody

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Timeline

Received February 04, 2022
Accepted March 07, 2022
Published June 28, 2022

licence

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


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