PMC6335926_01
(A and B) bilateral abducens palsy as a sign for tuberculous basal meningitis and (C) anterior spondylodiscitis at T 10-11 with a paravertebral abscess (Pott's disease). This figure appears in color at www.ajtmh.org.
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Physical examination included general weakness, low-grade fever (37.5 C), neck rigidity, and bilateral abducens palsy leading to double vision (Figure 1A and B), typical clinical findings consistent with tuberculous basal meningitis. Spinal X-ray showed destructive anterior spondylodiscitis at T 10-11 with a paravertebral abscess (Figure 1C), again typical findings for Pott's disease and explaining the abdominal pain.