title: Dengue hemorrhagic fever complicated with acute idiopathic scrotal edema and polyneuropathy.
abstract: We report a case of an adult with dengue hemorrhagic fever who developed acute idiopathic scrotal edema and glove-and-stocking polyneuropathy. A 54-year-old man who had fever, chills, bone pain, and skin rash for 4 days was admitted. We diagnosed dengue hemorrhagic fever because of fever, gum bleeding, thrombocytopenia, and hemoconcentration, and confirmed the diagnosis by serology. The patient had scrotal and penile edema and distal limb numbness with a glove-and-stocking distribution. After supportive care, the scrotal edema and other symptoms subsided. Patients with dengue hemorrhagic fever may develop scrotal edema caused by plasma leakage.
authors.affiliation: Division of Infectious Diseases, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan. idchen.tunchieh@gmail.com
authors.forename: Tun-Chieh
authors.initials: TC
authors.lastname: Chen
authors.forename: Po-Liang
authors.initials: PL
authors.lastname: Lu
authors.forename: Yen-Hsu
authors.initials: YH
authors.lastname: Chen
authors.forename: Jih-Jin
authors.initials: JJ
authors.lastname: Tsai
authors.forename: Tyen-Po
authors.initials: TP
authors.lastname: Chen
mesh_terms: D003937:Diagnosis, Differential; D004487:Edema / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011115:Polyneuropathies / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D012611:Scrotum; D019595:Severe Dengue / Q000150:complications / Q000175:diagnosis* / Q000473:pathology