Diallo Abdoulahy, Dembele Yacouba, Michaud Céline, Jean Maxime, Niang Mohamadou, Meliani Pascal, Yaya Issifou, Permal Sarah
Service De Médecine Polyvalente, Centre Hospitalier De Mayotte, Mamoudzou, Mayotte, France.
Laboratoire De Biologie Médicale, Centre Hospitalier De Mayotte, Mamoudzou, Mayotte, France.
IDCases. 2020 Jun 2;21:e00862. doi: 10.1016/j.idcr.2020.e00862. eCollection 2020.
Dengue fever, transmitted by mosquitoes, is one of the most common vector-borne disease. Its incidence is increasing steadily worldwide, becoming a major public health problem in the tropical and subtropical zone. Neurological manifestations after dengue are not very common and acute disseminated encephalomyelitis (ADEM) following dengue infections is rare with a few cases documented in literature. Clinical characteristics and typical lesions of ADEM on magnetic resonance imaging (MRI) of brain along with serologic positivity for dengue usually confirm the diagnosis. We report a case of ADEM which developed as a neurological complication of dengue during an epidemic in a 39-year-old woman.
登革热由蚊子传播，是最常见的媒介传播疾病之一。其发病率在全球范围内稳步上升，成为热带和亚热带地区的一个主要公共卫生问题。登革热后的神经表现并不常见，登革热感染后发生的急性播散性脑脊髓炎（ADEM）很罕见，文献中仅有少数病例记载。脑磁共振成像（MRI）上ADEM的临床特征和典型病变以及登革热血清学阳性通常可确诊。我们报告一例39岁女性在登革热流行期间发生的ADEM病例，它是登革热的一种神经并发症。
