Gupta Samiksha, Jesrani Gautam, Cheema Yuvraj S, Kumar Vivek, Garg Aman
Internal Medicine, Government Medical College and Hospital, Chandigarh, Chandigarh, IND.
Cureus. 2022 Jan 25;14(1):e21615. doi: 10.7759/cureus.21615. eCollection 2022 Jan.
Neurological manifestations like encephalitis, especially hemorrhagic encephalitis, are rarely described in dengue fever (DF), and the gamut may affect any part of the central or peripheral nervous system. Herein, we report two cases from Northern India, presenting with fever and altered sensorium, subsequently diagnosed with DF. Imaging studies revealed hemorrhagic encephalitis in both of them but one of them had a grave outcome, unfolding the fatal nature of the disease. The report enlightens DF as an unusual etiology of encephalitis and the importance of considering the infirmity as a differential in patients with neurological manifestations.
脑炎等神经系统表现，尤其是出血性脑炎，在登革热（DF）中很少被描述，其范围可能影响中枢或周围神经系统的任何部位。在此，我们报告来自印度北部的两例病例，患者表现为发热和意识改变，随后被诊断为登革热。影像学研究显示两人均为出血性脑炎，但其中一人预后严重，揭示了该疾病的致命性。该报告阐明登革热是脑炎的一种不常见病因，以及在有神经系统表现的患者中将该疾病作为鉴别诊断的重要性。
