Case report : Interesting case of Dengue encephalopathy in King Narai Hospital.
Keywords:
Dengue virus, Dengue encephalopathyAbstract
This study was case report aimed to Interesting case of Dengue encephalopathy in King Narai Hospital case report. An 11 years old girl was hospitalized with fever and headache. During the admission, her symptoms was worsening with the sudden onset of confusion – inability to follow commands and disorientations.
Result : Her complete blood count only shows evident of anemia. The CT scan of her brain found no evidence of abnormalities. Cerebrospinal Fluid Examination was shown sign of infection with a positive result from dengue PCR with Dengue viral culture and Dengue NS1Ag, the diagnosis of Dengue encephalopathy was confirmed. With supportive treatments including airway management, adequate intravenous fluid to prevent the risk of increase intracranial pressure, blood transfusion, electrolyte replacement therapy, monitoring of blood sugar level and regular observation of neuro signs, the patient is safely discharged.
References
Zaki SA.J . Acute disseminated encephalomyelitis and dengue fever. Vector Borne Dis. 2012;49(1):52
Guzman MG, Gubler DJ, Izquierdo A, Martinez E, Halstead SB. Dengue infection. Nat Rev Dis Primers. 2016;18(2):16055 A detailed review of clinical and pathophysiologic aspects of the disease.
Cam BV, Fonsmark L, Hue NB, Phuong NT, Poulsen A, Heegaard ED. Prospective case-control study of encephalopathy in children with dengue hemorrhagic fever. Am J Trop Med Hyg. 2001;65(6):848–851.
Ching Soong Khoo. Dengue Cerebellitis: A Case Report and Literature Review Am J Case Rep. 2018; 24(19)864-867.
Carod-Artal FJ, Wichmann O, Farrar J, Gascón J. Neurological complications of dengue virus infection. Lancet Neurol. 2013;12(9):906–19
Weeratunga PN, Caldera HP, Gooneratne IK, et al. Spontaneously resolving cerebellar syndrome as a sequelae of dengue viral infection: A case series from Sri Lanka. Pract Neurol. 2014;14(3):176–78.
Cheah WK, Ng KS, Marzilawati AR, et al. A review of dengue research in Malaysia. Med J Malaysia. 2014;69(A):59–67.
Manoj Saluja, Yogesh Kumar Swami, Saurabh Chittora, Hemant Vimlani Dengue Encephalopathy in Hadoti Region: Clinical Presentation, Diagnostic Evaluation, Management and Outcome. J Assoc Physicians India. 2019 Apr;67(4):39-42
Sweety Trivedi , Ambar Chakravarty. Neurological Complications of Dengue Fever. Curr Neurol Neurosci Rep. 2022; 22(8): 515-529.
Yong Poovorawan, Yanee Hutagalung, Voranush Chongsrisawat, Irving Boudville, Hans L Bock Dengue virus infection: a major cause of acute hepatic failure in Thai children. Ann Trop Paediatr. 2006; 26(1): 17-23.
Xingyu Leng, Huiqin Yang, Lingzhai Zhao, Jiamin Feng, Kanghong Jin, Lu Liao, Fuchun Zhang. Dengue encephalopathy in an adult due to dengue virus type 1 infection. BMC Infect Dis. 2024 Mar 15;24(1):319.
