关键词: dengue fever flavivirus methyl prednisolone transverse myelitis

来  源:   DOI:10.1002/ccr3.8461   PDF(Pubmed)

Abstract:
UNASSIGNED: Dengue fever can also have various neurological complications but involvement of the spinal cord is often unusual. This is a case where the patient had transverse myelitis as a complication of dengue fever.
UNASSIGNED: Dengue fever can have various neurological complications but involvement of the spinal cord is often unusual. We report a case of a 49-year-old female, a known case of dengue fever, who presented with urine retention, inability to stand and walk with tingling sensation of bilateral lower limbs. Her vibration and joint position sensation was reduced below T2 level along with altered reflexes but MRI could not explain the examination findings. She was diagnosed clinically as transverse myelitis (TM) in the background of dengue fever. She showed drastic improvement with treatment of steroids. As TM as a complication in a patient with dengue fever is rare, and due to the paucity of similar case reports in Nepal, this case report is of value for the scientific community.
摘要:
登革热也可能有各种神经系统并发症,但脊髓受累通常不常见。这是一例患者患有作为登革热并发症的横贯性脊髓炎的病例。
登革热可以有各种神经系统并发症,但脊髓受累通常不常见。我们报道了一个49岁女性的病例,一个已知的登革热病例,出现尿潴留的人,不能站立行走,双侧下肢刺痛感。她的振动和关节位置感觉降低到T2水平以下,同时反射改变,但MRI无法解释检查结果。在登革热的背景下,她在临床上被诊断为横贯性脊髓炎(TM)。她在接受类固醇治疗后表现出了巨大的改善。由于TM作为登革热患者的并发症很少见,由于尼泊尔缺乏类似的病例报告,本病例报告对科学界有价值。
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