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Case of steroid refractory dengue myositis responsive to intravenous immunoglobulins
  1. Zaraq Rashid1,
  2. Taimoor Hussain2,3,
  3. Syed Nauman Abdullah1 and
  4. Jasvindar Kumar4
  1. 1Internal Medicine, Hayatabad Medical Complex, Peshawar, Pakistan
  2. 2Neuroimmunology Division, Yale School of Medicine, New Haven, Connecticut, USA
  3. 3Neurology, Bolan Medical Complex Hospital, Quetta, Pakistan
  4. 4Medicine, Khyber Medical College, Peshawar, Khyber Pakhtunkhwa, Pakistan
  1. Correspondence to Dr Taimoor Hussain; taimoor_naran{at}


Dengue is an arbovirus infection that usually presents with the symptoms of high-grade fever, myalgia and rash. Dengue is spread by the Aedes aegypti mosquito and frequent outbreaks are being reported in regions like Pakistan, India and Sri Lanka. Although muscle ache is quite common with dengue fever, overt myositis is of very rare occurrence. Here, we report a case of a young girl who presented to us with serologically confirmed dengue infection, and having bilateral upper and lower limb weakness. Her raised creatine kinase, along with her electromyography pattern was suggestive of myositis. Her condition was steroid-resistant and responded only to intravenous immunoglobulin. She was discharged in a stable condition.

  • General practice / family medicine
  • Immunology
  • Infectious diseases
  • Infections
  • Musculoskeletal and joint disorders

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  • Contributors ZR and SNA performed data collection; TH, ZR and SNA drafted the manuscript; TH, ZR and JK performed the literature search, and critically reviewed the manuscript. All authors approved of the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.