Flaccid quadriparesis due to severe myositis and Bell's palsy in pediatric dengue infection
15 June 2013
04 November 2013
28 July 2015 (online)
A 10-year-old-boy was admitted with high grade continuous fever, rash, arthralgia and myalgia. From the 4th day of fever, his myalgia increased in intensity and he developed flaccid quadriparesis on the 5th day. Subsequently he was diagnosed to have dengue infection and myositis. He also developed right sided Bell's palsy 4 days after he became afebrile. He was treated with intravenous methyl prednisolone for 3 days followed by oral prednisolone for 1 week with resultant dramatic resolution of myalgia and weakness. Physiotherapy was advised for Bell's palsy. At follow up 2 months later, the child had regained grade 5/5 power in all four limbs, but the weakness of the facial muscles persisted.