A case study of a paediatric scrub typhus patient with optic nerve dysfunction

Abstract

Optic neuropathy can be caused by various infections, with retinitis and vasculitis among the common ocular manifestations. Here, we report a case of scrub typhus that initially presented as meningoencephalitis and subsequently developed optic nerve dysfunction during the course of hospitalization. Significant visual improvement was noted after treatment with systemic steroids. In conclusion, it is crucial to maintain a high index of suspicion for rickettsial diseases when evaluating individuals presenting with visual abnormalities and systemic illness in endemic regions. Early detection and timely intervention can help prevent irreversible vision loss.