Annals of Tropical Medicine and Public Health
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CASE REPORT
Year : 2013  |  Volume : 6  |  Issue : 2  |  Page : 251-253

A case of dengue fever complicated by acute transverse myelitis


1 Department of General Medicine, KGMU, Lucknow, India
2 Department of Radiodiagnosis, SGPGI, Lucknow, India

Correspondence Address:
Manish Gutch
Senior Resident, Department of General Medicine, KGMU, Lucknow - 226 003
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1755-6783.116498

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Dengue infection is now known to have varied neurological complications, involve central as well as peripheral nervous system. Only few isolated cases of acute transverse myelitis (ATM) have been reported. In this paper, we report a case of a 15-year-old female who developed acute onset quadriparesis following a dengue virus infection. Magnetic resonance imaging of the spinal cord disclosed signal-intensity abnormalities from C2 to T3. A diagnosis of ATM was considered. Because of the very rapid involvement of upper cervical cord, respiratory paralysis ensues. The patient condition necessitated her to be put on mechanical ventilation. Intravenous methylprednisolone was also given, but eventually patient expired.


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