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(5) Enteric fever presenting with motor aphasia during the first week of illness has not yet been reported.
Motor aphasia is one of the unusual neurological presentations in enteric fever.
On examination he had motor aphasia, bilateral horizontal gaze nystagmus, right UMN facial palsy, motor weakness of both upper and lower limbs right>left, hypotonia and extensor plantar on the right.
The severity of the neurological involvement did not permit an adequate neuropsychological examination but confirmed severe motor aphasia with absence of spontaneous language and inability to repeat, name and produce automatic sequences.
In the second case, motor aphasia due to a large lesion in the WM of the left hemisphere was the first sign of disease, and it was not associated with any change in other cognitive functions and it also subsequently remitted.
In his neurological examination, he had right hemiparesis and motor aphasia. The patient was admitted to the infectious disease clinic due to preliminary diagnosis of Brucella endocarditis and neurobrucellosis.
Two patients had neurosensorial deafness (cases 2, 7), one had tetraparesis (case 5), and one had hemiparesis and motor aphasia (case 6).
Participant 2, in contrast, demonstrated nonfluent transcortical motor aphasia with moderate apraxia of speech.