Chen Tun-Chieh, Lu Po-Liang, Chen Yen-Hsu, Tsai Jih-Jin, Chen Tyen-Po
Division of Infectious Diseases, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan.
Am J Trop Med Hyg. 2008 Jan;78(1):8-10.
We report a case of an adult with dengue hemorrhagic fever who developed acute idiopathic scrotal edema and glove-and-stocking polyneuropathy. A 54-year-old man who had fever, chills, bone pain, and skin rash for 4 days was admitted. We diagnosed dengue hemorrhagic fever because of fever, gum bleeding, thrombocytopenia, and hemoconcentration, and confirmed the diagnosis by serology. The patient had scrotal and penile edema and distal limb numbness with a glove-and-stocking distribution. After supportive care, the scrotal edema and other symptoms subsided. Patients with dengue hemorrhagic fever may develop scrotal edema caused by plasma leakage.
我们报告一例成年登革出血热患者，该患者出现了急性特发性阴囊水肿和手套袜套样多发性神经病。一名54岁男性因发热、寒战、骨痛和皮疹4天入院。由于发热、牙龈出血、血小板减少和血液浓缩，我们诊断为登革出血热，并通过血清学确诊。患者出现阴囊和阴茎水肿以及手套袜套样分布的远端肢体麻木。经过支持治疗后，阴囊水肿和其他症状消退。登革出血热患者可能会因血浆渗漏而出现阴囊水肿。
