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A 5-year-old male child with blood culture confirmed typhoid fever presented with twitching over the left scapular region. Contrast computerized tomography and electroencephalogram were normal. Following treatment with azithromycin and clonazepam, the twitching subsided. Subsultus tendinum, a rare neurological complication of typhoid fever, resolves spontaneously with treatment.


Kulandaipalayam Natarajan Sindhu, Manikandan Srinivasan, Prabhakar D Moses, Maya Thomas, Jacob John, Winsley Rose. Subsultus Tendinum in a Child with Typhoid Fever. Indian pediatrics. 2020 Apr 15;57(4):374-375

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PMID: 32284487

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