Journal of Pediatric Neurology
DOI: 10.1055/s-0040-1716344
Case Report

Dengue-Associated Posterior Reversible Encephalopathy Syndrome

1  Department of Pediatrics, Kasturba Medical College, Manipal Academy of Higher Education, Mangalore, Karnataka, India
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1  Department of Pediatrics, Kasturba Medical College, Manipal Academy of Higher Education, Mangalore, Karnataka, India
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2  Department of Radiodiagnosis, Kasturba Medical College, Manipal Academy of Higher Education, Mangalore, Karnataka, India
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1  Department of Pediatrics, Kasturba Medical College, Manipal Academy of Higher Education, Mangalore, Karnataka, India
› Author Affiliations

Abstract

Dengue fever has been associated with a myriad of complications, due to widespread inflammation in the various afflicted organs. Central nervous system (CNS) complications include encephalitis, encephalopathy, intracranial bleed, and spinal and cranial nerve involvement with varied outcomes. We report a case of an adolescent girl who presented with dengue fever and significant hypotension requiring intravenous fluids and vasopressors, and developed seizures on the third day of admission. Magnetic resonance imaging (MRI) of brain showed features suggestive of posterior reversible encephalopathy syndrome. She was managed conservatively with antiepileptics. She showed complete clinical recovery over the next 3 days and remained normal with seizure freedom at a recent follow-up after tapering antiepileptics.



Publication History

Received: 12 June 2020

Accepted: 26 July 2020

Publication Date:
04 September 2020 (online)

Georg Thieme Verlag KG
Stuttgart · New York