Acute Ataxia of the Cerebellum Linked to Enteric Fever as an Isolated Neurological Manifestation: A Case Report

It is quite uncommon for enteric fever to cause acute cerebellar ataxia as a separate neurological symptom. There have been three reports of acute cerebellar ataxia linked to enteric illness. A positive blood culture, a significantly positive Widal test, and increasing antibody titres all supported the diagnosis of enteric fever. The main clinical characteristics were dysarthria, limb ataxia, and the quick onset of gait ataxia. The sensorium of none of the patients was changed. On the second or third day of the fever, which lasted for one to two days, the cerebellum involvement was observed. After the symptoms stayed the same for a week or two, all of the patients began to gradually improve within a few weeks. Cerebrospinal fluid pleocytosis, self-limiting course, and acute onset of cerebellar lesion all point to par- or post-infectious demyelinating disease. Here we present an uncommon scenario, wherein a patient with enteric fever presented with acute cerebellar ataxia as an isolated neurological manifestation. Keywords: Enteric fever, ataxia, neurological manifestations.