A case report of acute disseminated encephalomyelitis following severe dengue in a child.
Germs
; 10(2): 115-119, 2020 Jun.
Article
en En
| MEDLINE
| ID: mdl-32656109
ABSTRACT
INTRODUCTION:
Acute disseminated encephalomyelitis (ADEM) is a rare neurological complication seen in association with severe dengue infection. Here we report a case of a six-year-old male child with ADEM following dengue fever. CASE REPORT A six-year-old boy was admitted with fever, hematuria, and melena of five days duration. On evaluation, the child had shock and features of coagulopathy. Dengue NS 1 antigen and IgM ELISA were positive. The child received treatment as per the 2009 WHO dengue protocol. On day seven of illness, he developed neurological symptoms. Magnetic resonance imaging (MRI) done on day eight of illness showed T2/FLAIR hyperintensities in bilateral frontoparietal subcortical deep white matter, occipital periventricular white matter, pons and cerebellar hemispheres, diagnostic of ADEM. He responded to intravenous methylprednisolone. He was discharged 2 weeks after hospitalization. His neurological examination was normal at follow up after a month.CONCLUSIONS:
Early recognition and prompt treatment of ADEM in dengue can lead to a successful outcome without neurological deficits.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
3_ND
Problema de salud:
3_dengue
/
3_neglected_diseases
Tipo de estudio:
Guideline
Aspecto:
Patient_preference
Idioma:
En
Revista:
Germs
Año:
2020
Tipo del documento:
Article
País de afiliación:
India