Findings at brain MRI in children with dengue fever and neurological symptoms
Autor: | Bhavya Garg, Ruchi Rastogi |
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Rok vydání: | 2015 |
Předmět: |
Male
Pediatrics medicine.medical_specialty Encephalopathy Arbovirus Asymptomatic 030218 nuclear medicine & medical imaging Dengue fever Dengue Diagnosis Differential 03 medical and health sciences 0302 clinical medicine medicine Coagulopathy Humans Radiology Nuclear Medicine and imaging Encephalitis Viral Child Hepatitis biology business.industry Brain Neuromuscular Diseases medicine.disease biology.organism_classification Magnetic Resonance Imaging Flavivirus Pediatrics Perinatology and Child Health Immunology Female medicine.symptom business 030217 neurology & neurosurgery Encephalitis |
Zdroj: | Pediatric Radiology. 46:139-144 |
ISSN: | 1432-1998 0301-0449 |
Popis: | Dengue is a flavivirus of the genus arbovirus with four serotypes, from DEN 1 to DEN 4. There has been an increase in incidence of dengue infection in children in the tropics and subtropics. Dengue has a variable clinical presentation, with many patients being asymptomatic. Its clinical manifestations in children vary from fever and arthralgia to life-threatening dengue hemorrhagic fever and dengue shock syndrome. We describe MRI findings in children with neurological involvement including dengue encephalopathy, acute hypoxic injury and dengue encephalitis. Dengue encephalopathy is usually secondary to multisystem derangement such as shock, hepatitis, coagulopathy and concurrent bacterial infection and is relatively common. Dengue encephalitis from direct neuronal invasion is rare. Nonspecific changes are seen on brain MRI in dengue infection. Clinical and laboratory findings as well as outcome do not necessarily correspond with brain MRI findings. |
Databáze: | OpenAIRE |
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