Dengue encephalitis.
We report a case of dengue fever with features of encephalitis. The diagnosis of dengue was confirmed by the serum antibodies to dengue and the presence of a dengue antigen in the cerebrospinal fluid. This patient had characteristic magnetic resonance imaging brain findings, mainly involving the bilateral thalami, with hemorrhage. Dengue is not primarily a neurotropic virus and encephalopathy is a common finding in Dengue. Hence various other etiological possibilities were considered before concluding this as a case of Dengue encephalitis. This case explains the importance of considering the diagnosis of dengue encephalitis in appropriate situations.
Department of Critical Care Medicine, Shree Medical Foundation, Pune, Maharashtra, India.
Kapil
K
Borawake
Parikshit
P
Prayag
Atul
A
Wagh
Swati
S
Dole