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Case Reports
. 2017 Jul;11(7):OD10-OD12.
doi: 10.7860/JCDR/2017/28814.10243. Epub 2017 Jul 1.

Dengue Haemorrhagic Encephalitis: Rare Case Report with Review of Literature

Aditya Singh Kutiyal  1 , Chetanya Malik  1 , Gitika Hyanki  2
Affiliations
Case Reports

Dengue Haemorrhagic Encephalitis: Rare Case Report with Review of Literature

Aditya Singh Kutiyal et al. J Clin Diagn Res. 2017 Jul.

Abstract

Dengue is an endemic arboviral infection prevalent especially in tropical countries including Southern and Southeast Asia. Central Nervous System (CNS) involvement in dengue infection is uncommon. Haemorrhagic encephalitis is a rare presentation in dengue. This is a case of a 58-year-old male who presented with fever, petechial rash and altered sensorium. Dengue serology IgM was reactive and MRI brain was suggestive of haemorrhagic encephalitis. Patient was managed in Intensive Care Unit (ICU) but eventually succumbed to his illness. We report this fatal outcome of a common viral infection with unusual neurological presentation to propose an association between dengue and neurotropism and the need to look at dengue infection beyond its classical features.

Keywords: Arboviral infection; Fever; Neurotropic.

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Figures

[Table/Fig-1]:
[Table/Fig-1]:
MRI brain FLAIR sequence showing hyperintense lesions in bilateral ganglio-thalamic complex, periventricular and peritrigonal white matter. (MRI- Magnetic Resonance Imaging, FLAIR- Fluid-attenuated inversion recovery).
[Table/Fig-2]:
[Table/Fig-2]:
MRI brain T2 weighted image sequence showing hyperintense lesions in bilateral ganglio-thalamic complex, periventricular and peritrigonal white matter. (MRI- Magnetic Resonance Imaging)
[Table/Fig-3]:
[Table/Fig-3]:
MRI brain images showing multiple scattered foci of blooming on SWI sequence suggestive of bleed. (MRI- Magnetic Resonance Imaging, SWI - Susceptibility Weighted Imaging).
See this image and copyright information in PMC

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