Expanded Dengue Syndrome Presenting as Intracranial Hemorrhage, Fever, and Rhabdomyolysis: A Case Report.

Autor: Roy S; Department of Medicine, King George's Medical University, Lucknow, IND., Gupta SS; Department of Medicine, King George's Medical University, Lucknow, IND., Prajapati S; Department of Medical Sciences, King George's Medical University, Lucknow, IND., Muzaffar SN; Department of Critical Care Medicine, King George's Medical University, Lucknow, IND., Agrawal A; Department of Critical Care Medicine, King George's Medical University, Lucknow, IND.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2023 Jan 26; Vol. 15 (1), pp. e34252. Date of Electronic Publication: 2023 Jan 26 (Print Publication: 2023).
DOI: 10.7759/cureus.34252
Abstrakt: Rare clinical manifestations of dengue are included under the expanded dengue syndrome (EDS), with intracranial hemorrhage (ICH) being one of them. We discuss an uncommon presentation of dengue with basal ganglia hemorrhage, hyperthermia, and rhabdomyolysis in a 53-year-old hypertensive female who presented with sudden onset syncope, left-sided weakness, and altered sensorium for days, with high-grade fever and vomiting. The Glasgow coma scale (GCS) score was 5, and the patient was intubated. Noncontrast computerized tomography (NCCT) of the brain revealed right basal ganglia bleeding with intraventricular hemorrhage. Electrocardiography (ECG) revealed sinus tachycardia. The patient had spikes of high-grade fever, rhabdomyolysis, stage III acute kidney disease, and coagulopathy. Dengue IgM antibodies were positive. Treatment was started, and the patient was in the intensive care unit (ICU) for six months, following which she was discharged. Given this, one can speculate on the importance of viral diseases presenting with ICH as these are rare and are diagnosed quite late, which can also prove to be fatal.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Roy et al.)
Databáze: MEDLINE
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