Borawake Kapil, Prayag Parikshit, Wagh Atul, Dole Swati
Department of Critical Care Medicine, Shree Medical Foundation, Pune, Maharashtra, India.
Indian J Crit Care Med. 2011 Jul;15(3):190-3. doi: 10.4103/0972-5229.84896.
We report a case of dengue fever with features of encephalitis. The diagnosis of dengue was confirmed by the serum antibodies to dengue and the presence of a dengue antigen in the cerebrospinal fluid. This patient had characteristic magnetic resonance imaging brain findings, mainly involving the bilateral thalami, with hemorrhage. Dengue is not primarily a neurotropic virus and encephalopathy is a common finding in Dengue. Hence various other etiological possibilities were considered before concluding this as a case of Dengue encephalitis. This case explains the importance of considering the diagnosis of dengue encephalitis in appropriate situations.
我们报告一例具有脑炎特征的登革热病例。通过血清登革热抗体以及脑脊液中登革热抗原的存在确诊为登革热。该患者脑部磁共振成像有特征性表现，主要累及双侧丘脑，并伴有出血。登革热并非主要的嗜神经病毒，脑病是登革热的常见表现。因此，在将此病例诊断为登革热脑炎之前，考虑了各种其他病因可能性。该病例说明了在适当情况下考虑登革热脑炎诊断的重要性。
