Sharma Chandra Mohan, Kumawat B L, Ralot Tarun, Tripathi Gautam, Dixit Shailesh
Department of Neurology, BMRC, SMS Medical College, Jaipur 302004.
J Indian Med Assoc. 2011 Sep;109(9):675, 682.
Various types of neurological manifestations are described in dengue fever, of which peripheral neuropathy is rarely reported. We are reporting such a case that presented with three days' history of fever and weakness of all the four limbs of two days' duration. On investigations it turned out to be acute motor sensory axonal neuropathy (AMSAN) type of Guillain-Barre syndrome with decrease platelet counts and positive serology for dengue. All other causes of acute polyneuropathy were ruled out by history and relevant investigations. Patient improved with intravenous immunoglobulin and other supportive therapy.
登革热可出现多种类型的神经学表现，其中周围神经病变鲜有报道。我们报告这样一例病例，患者有三天发热史，四肢无力持续两天。经检查，结果为吉兰 - 巴雷综合征的急性运动感觉轴索性神经病（AMSAN）类型，伴有血小板计数减少及登革热血清学阳性。通过病史及相关检查排除了急性多发性神经病的所有其他病因。患者经静脉注射免疫球蛋白及其他支持性治疗后病情好转。
