Soni Brijesh K, Das Debasheesh S R, George R A, Aggarwal R, Sivasankar R
Department of Radiology, Command Hospital Air Force, Bengaluru, Karnataka, India.
Indian J Radiol Imaging. 2017 Apr-Jun;27(2):125-128. doi: 10.4103/ijri.IJRI_322_16.
Dengue virus, a RNA virus of family Flaviviradae is considered non-neurotropic. Increasing studies and case reports reveal neurological manifestations of dengue virus. In our case series, we have evaluated magnetic resonance imaging (MRI) findings of 3 patients with dengue fever diagnosed by positive dengue NS1 antigen with neurological symptoms, which revealed nonspecific imaging features of dengue encephalitis in two cases and dengue meningoencephalitis in one case. Autopsy findings are also correlated in 2 patients who succumbed to their disease. This case series underlines the consideration of dengue encephalitis in patients of dengue fever with neurological symptoms and relevant imaging findings.
登革病毒是黄病毒科的一种RNA病毒,被认为是非嗜神经性的。越来越多的研究和病例报告揭示了登革病毒的神经学表现。在我们的病例系列中,我们评估了3例经登革NS1抗原阳性诊断为登革热且伴有神经症状患者的磁共振成像(MRI)结果,其中2例显示为登革脑炎的非特异性影像学特征,1例显示为登革脑膜脑炎。还对2例因病死亡患者的尸检结果进行了关联分析。该病例系列强调了对于有神经症状和相关影像学表现的登革热患者,应考虑登革脑炎。