I am an intern physiotherapist and I am currently managing a patient that had typhoid perforation and underwent exploratory laparatomy some weeks to a month back. She had generalized body swelling and associated pain two weeks ago which the doctors said was due to septicaemia. But it resolved after a few days of massage therapy. The problem is that she also has limb weakness, which I initially believed to be related to the swelling and the infection spread. But since that resolved, she still presents with the weakness especially of her lower limbs, which are quite flaccid. The patient is very much conscious and can sit with little help. I've browsed the net and I still haven't found anything to explain the obvious paraparesis the patient is presenting with. Is there any relationship between typhoid perforation and paraparesis? Could the condition, since it was actually treated late, have caused any problem to the spinal network of the lower limbs? Or is this just a normal neurological complication of the disease? Thanks in advance for our input to this and if possible, any reference to an article or webpage that shows more light on this would be highly appreciated.