A woman with focal neurological deficit following treatment for cholera

Johnstone J Kumwenda Kamuzu University of Health Sciences; School of Medicine and Oral Health, Malawi Arthur Daire Kamuzu University of Health Sciences; School of Medicine and Oral Health, Malawi Olive Mkwinda Queen Elizabeth Central Hospital, Malawi Noel Nazombe Final year students; Kamuzu University of Health Sciences, School of Medicine and Oral Health, Malawi Atupele Mwale Final year students; Kamuzu University of Health Sciences, School of Medicine and Oral Health, Malawi Glory Makhumba Final year students; Kamuzu University of Health Sciences, School of Medicine and Oral Health, Malawi Samantha Musasa Kamuzu University of Health Sciences; School of Medicine and Oral Health, Malawi Fumbani Limani Kamuzu University of Health Sciences; School of Medicine and Oral Health, Malawi

Keywords: Cholera

Abstract

A 41-year old woman was treated for cholera at one of the health centers in Blantyre. Two days after discharge from the treatment unit, she developed weakness of all 4 limbs and difficulties with speech. She was referred to the Queen Elizabeth Central Hospital. A CT scan of the brain showed hypodense lesions in the pons. A diagnosis of central pontine myelinolysis was made. She recovered slowly and was discharged from hospital 17 days after admission.

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