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Longitudinally extensive transverse myelitis following dengue virus infection: A rare entity

Sunil Malik1, Sonal Saran2, Archana Dubey1

  • 1Department of Pediatrics, Subharti Medical College, Meerut, Uttar Pradesh, India.

Annals of African Medicine
|March 15, 2018
PubMed

Insights

Dengue fever can rarely cause longitudinally extensive transverse myelitis in children. This case highlights a 15-year-old who developed myelitis weeks after dengue infection, showing significant recovery with treatment.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Pediatrics

Background:

  • Longitudinally extensive transverse myelitis (LETM) is a rare neurological disorder.
  • Dengue fever is a mosquito-borne viral illness with diverse clinical manifestations.

Observation:

  • A 15-year-old male presented with symptoms of transverse myelitis four weeks after experiencing dengue fever.
  • Magnetic resonance imaging revealed LETM affecting the dorso-lumbar spinal cord.

Findings:

  • The patient experienced a post-infectious neurological complication following dengue fever.
  • Complete recovery with minimal residual deficit was achieved after six weeks of corticosteroid therapy and physiotherapy.

Implications:

  • This case underscores the rare association between dengue fever and LETM in pediatric patients.
  • Early diagnosis and prompt management, including corticosteroids and physiotherapy, are crucial for favorable outcomes in dengue-associated myelitis.
Keywords:
Dengue feverlongitudinally extensive transverse myelitisneurotropic virus

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