Rastogi Neha, Nayan Aditya, Sethi Prayas, Nischal Neeraj, Brijwal Megha, Kumar Arvind, Wig Naveet
Resident, Department of Medicine and Microbiology.
Resident.
J Assoc Physicians India. 2019 Oct;67(10):80-82.
Dengue is the most common arboviral disease affecting many countries worldwide. With endemicity of the disease and huge burden, atypical clinical presentations occur posing high diagnostic and therapeutic dilemma. Emerging neurological complications in dengue fever are reported in recent past Acute disseminated encephalomyelitis (ADEM) is an immune mediated acute demyelinating disorder of the central nervous system following recent infection or vaccination and characterized by multifocal white matter involvement. Early suspicion and diagnosis of such complication is clinical dilemma and it further complicates the clinical scenario. This case report highlights occurrence of such uncommon manifestation of ADEM in commonly occurring dengue fever along with its diagnosis and successful management in a young individual.
登革热是影响全球许多国家的最常见虫媒病毒病。由于该疾病的地方性流行和巨大负担,非典型临床表现的出现带来了高度的诊断和治疗困境。近期有报道称登革热热出现了新的神经并发症。急性播散性脑脊髓炎(ADEM)是一种免疫介导的中枢神经系统急性脱髓鞘疾病,发生于近期感染或接种疫苗之后,其特征为多灶性白质受累。对这种并发症的早期怀疑和诊断是临床难题,这进一步使临床情况复杂化。本病例报告强调了在常见的登革热热中出现这种不常见的ADEM表现,以及在一名年轻个体中的诊断和成功治疗。