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Case Reports
. 2013 Apr 18:13:179.
doi: 10.1186/1471-2334-13-179.

Post-dengue parkinsonism

Shahrul Azmin  1 , Ramesh Sahathevan, Zainudin Suehazlyn, Zhe Kang Law, Remli Rabani, Wan Yahya Nafisah, Hui Jan Tan, Mohamed Ibrahim Norlinah
Affiliations
Case Reports

Post-dengue parkinsonism

Shahrul Azmin et al. BMC Infect Dis. .

Abstract

Background: Dengue is a common illness in the tropics. Equally common are neurological complications that stem from dengue infection. However, to date, parkinsonism following dengue has not been reported in medical literature.

Case presentation: A previously well 18-year old man developed parkinsonism, in addition to other neurological symptoms following serologically confirmed dengue fever. Alternative etiologies were excluded by way of imaging and blood investigations.

Conclusions: The authors detail the first reported case of parkinsonism complicating dengue fever. Keeping rare presentations of common illnesses in mind, it behoves clinicians to consider parkinsonism as a complication following dengue infection. This would prevent injudicious treatment with L-dopa and dopamine agonists. Immunosuppression with steroids has been shown to be helpful in certain cases.

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Figures

Figure 1
Figure 1
Axial brain MRI T2 sequence.
Figure 2
Figure 2
Coronal brain MRI with FLAIR sequence.
Figure 3
Figure 3
Gadolinium–enhanced axial brain MRI with T1 sequence.
See this image and copyright information in PMC

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