Acute Compressive Ulnar Neuropathy In A Patient Of Dengue Fever: An Unusual Presentation.
BACKGROUND
Dengue haemorrhagic fever is known for its haemorrhagic and neurologic complications. Neurologic complications are caused by three mechanism namely neurotropism, systemic complications causing encephalopathy and postinfectious immune-mediated mechanisms. However acute compressive neuropathy due to haemorrhage is not frequent and we could find no literature describing this.


METHODS
We report a case of acute compressive ulnar neuropathy due to peri neural hematoma, following an attempt at intravenous cannulation in the cubital fossa in a patient of dengue haemorrhagic fever with thrombocytopenia. Immediate fasciotomy and removal of haematoma was performed to relieve the symptoms.


CONCLUSIONS
Compression neuropathies can be seen in dengue hemorrhagic fever and removal of compressing hematoma relieves symptoms.
Dept of Orthopaedics Lady Harding Medical College and Smt Sucheta Kriplani Hospital, New Delhi, India.
Anil K
AK
Mehtani
Dept of Orthopaedics Lady Harding Medical College and Smt Sucheta Kriplani Hospital, New Delhi, India.
Ashutosh
A
Jha
Dept of Orthopaedics Lady Harding Medical College and Smt Sucheta Kriplani Hospital, New Delhi, India.
Himanshu
H
Kataria
Dept of Orthopaedics Lady Harding Medical College and Smt Sucheta Kriplani Hospital, New Delhi, India.
Vivek
V
Jangira
Dept of Orthopaedics, Dr RML Hospital New Delhi, India.
Ajay
A
Shukla
Dengue haemmorrhagic fever; coagulopathy; peri neural haematoma