关键词: infection (neurology) spinal cord tropical medicine (infectious disease)

Mesh : Humans Myelitis, Transverse / diagnosis Dengue / complications Magnetic Resonance Imaging / methods Quadriplegia / complications Facial Nerve Myelitis / complications

来  源:   DOI:10.1136/bcr-2023-259388   PDF(Pubmed)

Abstract:
We diagnosed a patient with dengue fever who developed acute onset of sensorimotor quadriparesis with bladder involvement, and facial nerve involvement. Despite initial negative results in routine investigations and cerebrospinal fluid analysis, spinal MRI confirmed longitudinally extensive transverse myelitis. The aetiological workup was negative, prompting an investigation into the presence of dengue in the cerebrospinal fluid, which returned positive. This case underscores the importance of considering rare neurological complications in dengue, the value of advanced diagnostic techniques and the potential effectiveness of tailored interventions in challenging cases.
摘要:
我们诊断了一名登革热患者,该患者发展为急性发作的感觉运动四肢瘫痪并累及膀胱,面神经受累.尽管常规调查和脑脊液分析的初始结果为阴性,脊柱MRI证实纵向广泛横贯性脊髓炎。病因学检查是阴性的,促使对脑脊液中登革热的存在进行调查,返回积极。这一案例强调了考虑登革热罕见神经系统并发症的重要性,先进的诊断技术的价值以及在有挑战性的病例中量身定制的干预措施的潜在有效性。
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