Was it a case of acute disseminated encephalomyelitis? A rare association following dengue fever
Dengue infection, caused by a flavivirus is endemic in more than hundred countries, mostly in the developing world. Recent observations indicate that the clinical profile of dengue is changing, and that atypical manifestations are being reported more frequently. The exact incidence of various neurol...
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Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.118783 |
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doaj-e0eecb1e42e7420cacd6084a4aa9c0042021-02-02T05:23:01ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Neurosciences in Rural Practice0976-31470976-31552013-07-01040331832110.4103/0976-3147.118783Was it a case of acute disseminated encephalomyelitis? A rare association following dengue feverRitu Karoli0Zeba Siddiqi1Jalees Fatima2Sumit Maini3Department of Medicine, Era’s Lucknow Medical College, Sarfarazganj, Lucknow, Uttar Pradesh, IndiaDepartment of Medicine, Era’s Lucknow Medical College, Sarfarazganj, Lucknow, Uttar Pradesh, IndiaDepartment of Medicine, Era’s Lucknow Medical College, Sarfarazganj, Lucknow, Uttar Pradesh, IndiaDepartment of Medicine, Era’s Lucknow Medical College, Sarfarazganj, Lucknow, Uttar Pradesh, IndiaDengue infection, caused by a flavivirus is endemic in more than hundred countries, mostly in the developing world. Recent observations indicate that the clinical profile of dengue is changing, and that atypical manifestations are being reported more frequently. The exact incidence of various neurological complications is variable. Acute disseminated encephalomyelitis (ADEM) is a neurological manifestation rarely described in association with dengue. We present a patient, 32-year-old female who was diagnosed as a case of dengue fever initially after an acute febrile illness and two weeks later admitted in emergency with seizures and altered sensorium. Although MRI did not show typical lesions suggestive of ADEM, the lag period between initial dengue infection and neurological manifestations and complete recovery with methyl prednisolone point towards immune mediated demyelinating illness.http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.118783acute disseminated encephalomyelitisatypical manifestationsdengueneurological complication |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ritu Karoli Zeba Siddiqi Jalees Fatima Sumit Maini |
spellingShingle |
Ritu Karoli Zeba Siddiqi Jalees Fatima Sumit Maini Was it a case of acute disseminated encephalomyelitis? A rare association following dengue fever Journal of Neurosciences in Rural Practice acute disseminated encephalomyelitis atypical manifestations dengue neurological complication |
author_facet |
Ritu Karoli Zeba Siddiqi Jalees Fatima Sumit Maini |
author_sort |
Ritu Karoli |
title |
Was it a case of acute disseminated encephalomyelitis? A rare association following dengue fever |
title_short |
Was it a case of acute disseminated encephalomyelitis? A rare association following dengue fever |
title_full |
Was it a case of acute disseminated encephalomyelitis? A rare association following dengue fever |
title_fullStr |
Was it a case of acute disseminated encephalomyelitis? A rare association following dengue fever |
title_full_unstemmed |
Was it a case of acute disseminated encephalomyelitis? A rare association following dengue fever |
title_sort |
was it a case of acute disseminated encephalomyelitis? a rare association following dengue fever |
publisher |
Thieme Medical and Scientific Publishers Pvt. Ltd. |
series |
Journal of Neurosciences in Rural Practice |
issn |
0976-3147 0976-3155 |
publishDate |
2013-07-01 |
description |
Dengue infection, caused by a flavivirus is endemic in more than hundred countries, mostly in the developing world. Recent observations indicate that the clinical profile of dengue is changing, and that atypical manifestations are being reported more frequently. The exact incidence of various neurological complications is variable. Acute disseminated encephalomyelitis (ADEM) is a neurological manifestation rarely described in association with dengue. We present a patient, 32-year-old female who was diagnosed as a case of dengue fever initially after an acute febrile illness and two weeks later admitted in emergency with seizures and altered sensorium. Although MRI did not show typical lesions suggestive of ADEM, the lag period between initial dengue infection and neurological manifestations and complete recovery with methyl prednisolone point towards immune mediated demyelinating illness. |
topic |
acute disseminated encephalomyelitis atypical manifestations dengue neurological complication |
url |
http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.118783 |
work_keys_str_mv |
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