Dengue Encephalitis

Main Article Content

Thomas Felipe Diaz Angarita
Alexandra Moreno Sánchez
Karen Lorena Cárdenas Parra

Abstract

Background: this is an adolescent with a disease transmitted by A. aegypti with neurological compromise, diagnosed in a hospital at 2,600 meters above sea level. Low-frequency difficult-to-focus entity at this altitude. Case report: A 15-year-old patient with no significant pathological history travels to endemic places of vector-borne diseases. After his return, he presents general malaise, fever, and generalized rash. He consults various emergency services on several occasions where the wrong approach is made; At six days of symptoms, she started with neurological deterioration. She consulted again and, considering possible vector exposition and clinical history, atypical Dengue is suspected, confirmed with serology. Conclusions: Atypical Dengue, although it is a poorly diagnosed entity in non-endemic areas, should be considered in patients with a clear exposure history, which can change the management and prognosis of the disease.

Downloads

Download data is not yet available.

Article Details

How to Cite
Diaz Angarita, T. F., Moreno Sánchez, A., & Cárdenas Parra, K. L. (2022). Dengue Encephalitis: . Pediatría, 54(4), 163–166. https://doi.org/10.14295/rp.v54i4.238
Section
Case report

References

Organización Panamericana de la Salud / Organización Mundial de la Salud. Actualización Epidemiológica: Dengue.2019.

Erazo, R. Complicaciones neurológicas Chikungunya y dengue. Pediátr Panamá 2017; 46 (2): 46-51.

Carvajal JJ, Honorio NA, Díaz SP, et al. Aedes albopictus en Istmina, Chocó. Biomédica 2016;36:438-46. DOI: https://doi.org/10.7705/biomedica.v36i3.2805

Lindenbach B, Thiel H, Rice C. Flaviviridae: the virus and their replication. En: Knipe DM, Howley PM, editors. Fields virology, vol. 1, 5th ed. Philadelphia, PA: Lippincott William & Wilkins; 2007. p. 1101-52.

Uchil P, Kumar A, Satchidanandam V. Nuclear localization of flavivirus RNA synthesis in infected cells. J Virol. 2006;80:5451-64. DOI: https://doi.org/10.1128/JVI.01982-05

Bentes A, Geessien E, Castro R. Neurological manifestations of pediatric arboviral infections in the Americas. .Journal of Clinical Virology. 2019. 116 : 49–57. DOI: https://doi.org/10.1016/j.jcv.2019.04.006

Sips G, Wilschut J, Smit J. Neuroinvasive flavivirus infections. Rev Med Virol. 2012;22:69-87. DOI: https://doi.org/10.1002/rmv.712

Chimelli L, Hahn M, Netto M, Ramos R, Dias M, Gray F. Dengue: neuropathological findings in 5 fatal cases from Brazil. Clin Neuropathol. 1990;9:157-62.

Dengue. Dengue haemorrhagic fever and Dengue shock síndrome in the context of the integrated management of childhood illness. WHO. 2005.

Araújo F, Nogueira R, de Sousa M, Perdigão A, Cavalcanti L, Brilhante R, et al. Dengue in Patients with Central Nervous System Manifestations, Brazil. Emerg Infect Dis. 2012;18:677-679. DOI: https://doi.org/10.3201/eid1804.111522

Castellanos J, Bello J, Velandia M. Manifestaciones neurológicas durante la infección por el virus del dengue Infectio. 2014;18(4):167-176. DOI: https://doi.org/10.1016/j.infect.2014.02.006

Araújo F, Araújo M, Nogueira R, Brilhante R, Oliveira D, Rocha M, et al. Central nervous system involvement in dengue: A study in fatal cases from a dengue endemic area. Neurology. 2012;78:736-42. DOI: https://doi.org/10.1212/WNL.0b013e31824b94e9

Romero L. Informe del evento Dengue séptimo periodo epidemiológico del año 2013. En: Dirección vigilancia y análisis del riesgo en salud pública. Instituto Nacional de Salud. 2013.

Saini L Chakrabarty B, Pastel H, Israni A, Kumar A, Gulati S. Dengue fever triggering hemiconvulsion hemiplegia epilepsy in a child, Neurol. India 65 (2017) 636–638. DOI: https://doi.org/10.4103/neuroindia.NI_1367_15

Similar Articles

<< < 1 2 3 4 5 6 7 > >> 

You may also start an advanced similarity search for this article.