Table 2.
Details of five patients who presented in 2015/16 and underwent investigations to find out aetio-pathology, treatment given and response to treatment
| Description | Patient number | ||||
|---|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 | |
| Month/ year of admission | 3/15 | 4/15 | 5/15 | 6/15 | 11/16 |
| Age –years | 51 | 35 | 62 | 33 | 46 |
| Gender/physical state | Female | Female | Female | Pregnant | Female |
| Affected ear and palsy | Left | Left | Left | Right | Left |
| Time for onset of pain to facial palsy-days | 3 | 6 | 11 | 2 | 5 |
| Time gap between removal of tick to onset of palsy in days (pre or post) | 2-post | 1 -pre | 7-post | 1-pre | 0 |
| Neuropraxia of facial nerve | Present | Present | Present | Present | Present |
| Treatment | Doxycycline | Doxycycline | Doxycycline | Azithromycin | Doxycycline |
| Time for full recovery in weeks | 4 | 3 | 4 | 3 | 4 |
| IFA – IgG tire for R. conori – acute sera | negative | negative | 1/128 | 1/32 | 1/512 |
| IFA – IgG tire for R. conori – convalescent sera | 1/1024 | 1/1024 | 1/1024 | 1/1024 | 1/1024 |
| Identification of tick | – | Amblioma | Dermocentrer | Hyaloma | Rhipicephalus |
| Tick for PCR-rickettsial DNA | Negative | Negative | positive | ||