Malik Sunil, Saran Sonal, Dubey Archana, Punj Ajay
Department of Pediatrics, Subharti Medical College, Meerut, Uttar Pradesh, India.
Department of Radiology, Subharti Medical College, Meerut, Uttar Pradesh, India.
Ann Afr Med. 2018 Apr-Jun;17(2):86-89. doi: 10.4103/aam.aam_30_17.
Association of dengue fever with longitudinally extensive transverse myelitis in pediatric age group is a rare entity. We describe a case of 15 year old adolescent male who presented with dengue fever and in whom symptoms of transverse myelitis developed 4 weeks after fever (post-infectious stage). Magnetic resonance imaging confirmed the diagnosis of longitudinally extensive transverse myelitis involving dorso-lumbar cord. Patient recovered almost completely with minimal residual neurological deficit after a six weeks course of corticosteroids and supportive management including physiotherapy.
登革热与儿童年龄组中的纵向广泛横贯性脊髓炎相关联是一种罕见情况。我们描述了一例15岁青少年男性病例,该患者出现登革热,且在发热后4周(感染后阶段)出现横贯性脊髓炎症状。磁共振成像证实诊断为累及背腰部脊髓的纵向广泛横贯性脊髓炎。经过六周的皮质类固醇治疗及包括物理治疗在内的支持性管理,患者几乎完全康复,仅遗留轻微神经功能缺损。