Recurrent apnoea: a neurological manifestation of congenital dengue

Congenital dengue is seen in endemic areas during monsoon seasons. The clinical manifestations can vary from an asymptomatic newborn to mild symptoms like fever and rash to severe manifestations like shock and bleeding. The neurological manifestations of congenital dengue are uncommon compared with older children. The described symptoms/complications in the literature include congenital birth defects such as microcephaly, encephalitis and intraventricular haemorrhage. Apnoea as a manifestation of dengue has not yet been described in the literature. Here, we discuss a newborn baby with congenital dengue who had recurrent apnoea with positive NS1 antigen in cerebrospinal fluid.