title: An unusual case of dengue infection presenting with hypokalemic paralysis with hypomagnesemia.
abstract: Neurological manifestations are unusual in dengue fever and can be due to neurotropic effect, systemic complications of dengue infection, or immune mediated. Acute hypokalemic paralysis is a rare systemic complication of dengue infection; however, hypokalemia along with hypomagnesemia has not been reported earlier. We herein report an extremely unusual and probably the first case of dengue infection in a 30-year-old male who presented to us with hypokalemic paralysis along with hypomagnesemia. This case report highlights that hypomagnesemia may be a significant complication in dengue infection. Correction of hypomagnesemia is of paramount importance to avoid refractory hypokalemia leading to severe consequences.
authors.affiliation: Department of Neurology, SMS Medical College, Jaipur, Rajasthan, India.
authors.forename: Rajendra Singh
authors.initials: RS
authors.lastname: Jain
authors.affiliation: Department of Neurology, SMS Medical College, Jaipur, Rajasthan, India. Electronic address: pankajniw04@gmail.com.
authors.forename: Pankaj Kumar
authors.initials: PK
authors.lastname: Gupta
authors.affiliation: Department of Neurology, SMS Medical College, Jaipur, Rajasthan, India.
authors.forename: Rakesh
authors.initials: R
authors.lastname: Agrawal
authors.affiliation: Department of Neurology, SMS Medical College, Jaipur, Rajasthan, India.
authors.forename: Sunil
authors.initials: S
authors.lastname: Kumar
authors.affiliation: Department of Neurology, SMS Medical College, Jaipur, Rajasthan, India.
authors.forename: Kapil
authors.initials: K
authors.lastname: Khandelwal
mesh_terms: D000328:Adult; D003715:Dengue / Q000150:complications* / Q000378:metabolism / Q000503:physiopathology*; D006801:Humans; D007008:Hypokalemia / Q000378:metabolism / Q000503:physiopathology; D008297:Male; D010243:Paralysis / Q000378:metabolism / Q000503:physiopathology; D011188:Potassium / Q000032:analysis*
chemical_list: D011188:Potassium
keywords: Dengue infection; Hypokalemia; Hypomagnesemia; Paralysis