Dengue Encephalitis
Article Sidebar
Main Article Content
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
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Creative Commons
License Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0)
You are free to:
Share - copy and redistribute the material in any medium or format.
Adapt - remix, transform, and build upon the material The licensor cannot revoke these freedoms as long as you follow the license terms.
• Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
• NonCommercial — You may not use the material for commercial purposes.
• ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
• No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
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