Zubair Syed Muhammad, Ali Syed Ahsan, Furqan Saira
Medicine, Aga Khan University, Karachi, Pakistan.
BMJ Case Rep. 2019 Mar 23;12(3):e227981. doi: 10.1136/bcr-2018-227981.
Dengue is one of the leading causes of arthropod borne viral haemorrhagic fever. Majority of the times, it clinically manifests as fever, arthralgia and rash; however, we present a case of a young man who presented with progressively increasing weakness of all four limbs. Initial investigations showed low potassium, hence he was managed as hypokalaemic periodic paralysis. With initial history of fever and low platelets, dengue was suspected. Dengue antibody was checked which came out to be positive. Potassium was replaced which led to improvement in power of his limbs. He was discharged in a stable condition with a diagnosis of dengue with hypokalaemic quadriparesis.
登革热是节肢动物传播的病毒性出血热的主要病因之一。大多数情况下，其临床表现为发热、关节痛和皮疹；然而，我们报告了一例年轻男性病例，该患者出现四肢进行性无力。初步检查显示低钾血症，因此他被按照低钾性周期性麻痹进行治疗。鉴于最初有发热和血小板减少的病史，怀疑为登革热。检查登革热抗体呈阳性。补充钾后，他四肢的力量有所改善。他在病情稳定后出院，诊断为登革热合并低钾性四肢瘫。
