Internal Medicine, Hayatabad Medical Complex, Peshawar, Pakistan.
Neuroimmunology Division, Yale School of Medicine, New Haven, Connecticut, USA
BMJ Case Rep. 2022 Oct 10;15(10):e250963. doi: 10.1136/bcr-2022-250963.
Dengue is an arbovirus infection that usually presents with the symptoms of high-grade fever, myalgia and rash. Dengue is spread by the mosquito and frequent outbreaks are being reported in regions like Pakistan, India and Sri Lanka. Although muscle ache is quite common with dengue fever, overt myositis is of very rare occurrence. Here, we report a case of a young girl who presented to us with serologically confirmed dengue infection, and having bilateral upper and lower limb weakness. Her raised creatine kinase, along with her electromyography pattern was suggestive of myositis. Her condition was steroid-resistant and responded only to intravenous immunoglobulin. She was discharged in a stable condition.
登革热是一种虫媒病毒感染，通常表现为高热、肌痛和皮疹。登革热由蚊子传播，巴基斯坦、印度和斯里兰卡等地区经常爆发登革热。虽然肌肉疼痛在登革热中很常见，但明显的肌炎非常罕见。在这里，我们报告了一例年轻女孩的病例，她因血清学确诊的登革热感染，出现双侧上下肢无力。她的肌酸激酶升高，以及她的肌电图模式提示肌炎。她的病情对类固醇耐药，仅对静脉注射免疫球蛋白有反应。她出院时情况稳定。
