Article Text

Unusual presentation of more common disease/injury
An atypical case of dengue haemorrhagic fever presenting as quadriparesis due to compressive myelopathy
  1. S P Verma,
  2. D Himanshu,
  3. A K Tripathi,
  4. A K Vaish,
  5. Nirdesh Jain
  1. Department of Medicine, CSM Medical University, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Shailendra Verma, drspkgmu{at}


Dengue haemorrhagic fever is a serious presentation of dengue viral infection. Case reports of cerebral haemorrhage due to dengue are rare. The authors report a rare case of dengue haemorrhagic fever presenting with fever and acute onset progressive quadriparesis of the upper motor neuron type. Rare cases of quadriparesis in dengue fever have been reported in the literature due to myositis, Guillain–Barre syndrome, myelitis and hypokalaemia. This case on investigations was found to have extramedullary compression due to haematoma in the cervical region as the cause of quadriparesis.

Statistics from


  • Competing interests None.

  • Patient consent Obtained.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.