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CASE REPORT
Dengue fever with encephalitis: a rare phenomenon
  1. Gaurav Baheti1,
  2. Varshil Mehta2,
  3. Menka Ramchandani3,
  4. Gopal Chandra Ghosh4
  1. 1Department of Internal Medicine, Seven Hills Hospital, Mumbai, Maharashtra, India
  2. 2Department of Internal Medicine, MGM Medical College Kamothe, Navi Mumbai, Maharashtra, India
  3. 3Department of Internal Medicine, Government Medical College, Aurangabad, Maharashtra, India
  4. 4Department of Cardiology, Christian Medical College & Hospital, Vellore, Tamil Nadu, India
  1. Correspondence to Dr Gopal Chandra Ghosh, gcghosh86{at}gmail.com

Summary

The clinical profile and presentation of patients with dengue fever may differ from asymptomatic infection to the dreadful complications like dengue shock syndrome. However, neurological complications are very rare. Dengue encephalitis occurs by a direct involvement of central nervous system by the dengue virus which is an extremely rare complication. A 33-year-old man presented with fever, vomiting and severe headache. He had one episode of generalised tonic-clonic seizure followed by an altered sensorium on the day of admission to the hospital. The diagnosis of dengue fever was confirmed by dengue serology (IgM) and (NS1) antigen assay. MRI brain was suggestive of encephalitis. Thus, the patient was treated symptomatically and discharged in stable condition with minimal neurological deficit.

  • general practice / family medicine
  • meningitis
  • tropical mkedicine (infectious disease)
  • infection (neurology)

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Footnotes

  • Contributors GB, MR: manuscript preparation. VM, GCG: manuscript revision and editing work. VM, MR: overall responsibility.

  • 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.

  • Competing interests None declared.

  • Patient consent Obtained.

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

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