Annals of Tropical Medicine and Public Health

LETTER TO THE EDITOR
Year
: 2015  |  Volume : 8  |  Issue : 3  |  Page : 73-

Ischemic stroke and dengue vasculitis


Sora Yasri1, Viroj Wiwanitkit2,  
1 Department of Medical Center, KMT Medical Center, Bangkok, Thailand
2 Department of Tropical Medicine, Hainan Medical University, China

Correspondence Address:
Dr. Sora Yasri
Department of Medical Center, KMT Medical Center, Bangkok
Thailand




How to cite this article:
Yasri S, Wiwanitkit V. Ischemic stroke and dengue vasculitis.Ann Trop Med Public Health 2015;8:73-73


How to cite this URL:
Yasri S, Wiwanitkit V. Ischemic stroke and dengue vasculitis. Ann Trop Med Public Health [serial online] 2015 [cited 2020 Sep 22 ];8:73-73
Available from: http://www.atmph.org/text.asp?2015/8/3/73/157638


Full Text

Dear Sir,

Ischemic stroke is an emerging public health problem at present. Sometimes, ischemic stroke can be related to tropical infections. Dengue is an important tropical infection that is reported for its relationship to ischemic stroke. Nanda et al. noted the possibility of "immune-mediated vasculitis caused by dengue infection." [1] In fact, the neurological complication of dengue is an important issue in clinical practice. [2] Vasculitis is believed to be an important pathological process underlying neurological complication in dengue. [3] Nevertheless, some concomitant disorders for dengue that can lead to vasculitis are also reported (good examples are Kawasaki disease [4] and streptococcal infection). [5] This is the point at which to differentially diagnose in any case of suspected dengue vasculitis, including in the report by Nanda et al. [1] Indeed, stroke is a rare presentation in dengue and the case usually has some underlying neurological abnormalities. [1],[6],[7] In general, the incidence of dengue-related stroke is about 0.26%. However, its exact incidence in pediatric patients has never been studied and this should be a topic of further research.

References

1Nanda SK, Jayalakshmi S, Mohandas S. Pediatric ischemic stroke due to dengue vasculitis. Pediatr Neurol 2014;51:570-2.
2Verma R, Sahu R, Holla V. Neurological manifestations of dengue infection: A review. J Neurol Sci 2014;346:26-34.
3Lum LC, Lam SK, Choy YS, George R, Harun F. Dengue encephalitis: A true entity? Am J Trop Med Hyg 1996;54:256-9.
4Singh S, Jat KR, Suri D, Ratho RK. Dengue fever and Kawasaki disease: A clinical dilemma. Rheumatol Int 2009;29:717-9.
5Vitug MR, Dayrit JF, Oblepias MS, Honrado ER. Group A streptococcal septic vasculitis in a child with dengue hemorrhagic fever. Int J Dermatol 2006;45:1458-61.
6Verma R, Sahu R, Singh AS, Atam V. Dengue infection presenting as ischemic stroke: An uncommon neurological manifestation. Neurol India 2013;61:317-8.
7Mathew S, Pandian JD. Stroke in patients with dengue. J Stroke Cerebrovasc Dis 2010;19:253-6.