Dengue encephalopathy – still an enigma?

  • Rupali Malik VMMC and Safdarjang Hospital, New Delhi, India
  • Arun Gogna VMMC and Safdarjang Hospital, New Delhi, India
  • Jhasketan Meher VMMC and Safdarjang Hospital, New Delhi, India
  • Kumud Kumar Singh VMMC and Safdarjang Hospital, New Delhi, India
  • Susheel Kumar Sharma VMMC and Safdarjang Hospital, New Delhi, India
Keywords: dengue infection, encephalopathy, magnetic resonance imaging

Abstract

Dengue encephalopathy or dengue hemorrhagic fever (DHF) with neurological involvement was once considered to be one of the rarer presentations of this infectious agent. In recent years, many such clinical cases have been reported, though they still remain isolated. We hereby report a case of confirmed dengue fever with features of encephalopathy with previously unreported cranial magnetic resonance imaging findings suggestive of extensive involvement of the bilateral cerebellar region, brainstem, and thalami along with peculiar rim enhancement but normal cerebrospinal fluid analysis.

Author Biographies

Rupali Malik, VMMC and Safdarjang Hospital, New Delhi, India
Senior Resident, Department of Internal Medicine
Arun Gogna, VMMC and Safdarjang Hospital, New Delhi, India
Consultant and Professor, Department of Internal Medicine
Jhasketan Meher, VMMC and Safdarjang Hospital, New Delhi, India
Resident (MD Medicine), Department of Internal Medicine
Kumud Kumar Singh, VMMC and Safdarjang Hospital, New Delhi, India
Resident (MD Medicine), Department of Internal Medicine
Susheel Kumar Sharma, VMMC and Safdarjang Hospital, New Delhi, India
Senior Resident, Department of Internal Medicine
Published
2014-08-13
How to Cite
1.
Malik R, Gogna A, Meher J, Singh KK, Sharma SK (2014) Dengue encephalopathy – still an enigma?. J Infect Dev Ctries 8:1076-1078. doi: 10.3855/jidc.4762
Section
Case Reports