Akhtar Ujala, Mushtaq Muhammad Hamza, Nisar Sarah, Naeem Awais, Naim Fahad
Medicine, Khyber Teaching Hospital, Peshawar, PAK.
Internal Medicine, Lady Reading Hospital, Peshawar, PAK.
Cureus. 2023 Sep 5;15(9):e44705. doi: 10.7759/cureus.44705. eCollection 2023 Sep.
Dengue is one of the most common mosquito-borne viral illnesses in tropical areas, including Pakistan. Presentation varies from a self-limiting flu-like illness to life-threatening conditions like hemorrhagic shock and multi-organ dysfunction leading to death. In the absence of vomiting and diarrhea, electrolyte abnormalities are rare findings. Though Guillain-Barré syndrome is a known association of viral illnesses presenting with flaccid paralysis, there is a possibility for dengue to cause hypokalemia without apparent gut or renal losses. Dengue-associated hypokalemic paralysis is an underrecognized entity but has a favorable outcome. The clinician should suspect this in patients presenting with motor weakness in dengue-endemic areas. Neurological complications of dengue are reported frequently now, so early recognition of these neurological manifestations is needed for the successful recovery of patients. Here, we discuss a case of dengue-induced hypokalemia presenting with acute flaccid paralysis.
登革热是包括巴基斯坦在内的热带地区最常见的蚊媒病毒性疾病之一。其临床表现多样，从自限性的流感样疾病到危及生命的情况，如出血性休克和导致死亡的多器官功能障碍。在没有呕吐和腹泻的情况下，电解质异常是罕见的发现。虽然吉兰 - 巴雷综合征是已知的与表现为弛缓性麻痹的病毒性疾病相关的病症，但登革热有可能在没有明显肠道或肾脏失钾的情况下导致低钾血症。登革热相关的低钾性麻痹是一个未被充分认识的实体，但预后良好。在登革热流行地区出现运动无力的患者中，临床医生应怀疑此病。现在登革热的神经并发症报道频繁，因此为了患者的成功康复，需要早期识别这些神经表现。在此，我们讨论一例登革热诱发低钾血症并伴有急性弛缓性麻痹的病例。
