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Case Reports
. 2017 Feb 8;96(2):380-381.
doi: 10.4269/ajtmh.16-0284. Epub 2016 Dec 12.

Transverse Myelitis as an Unusual Complication of Dengue Fever

Mânlio Tasso de Oliveira Mota  1 , Cássia Fernanda Estofolete  1 , Nathalia Zini  1 , Ana Carolina Bernardes Terzian  1 , Delzi Vinha Nunes Gongora  1 , Irineu Luiz Maia  1 , Maurício Lacerda Nogueira  2
Affiliations
Case Reports

Transverse Myelitis as an Unusual Complication of Dengue Fever

Mânlio Tasso de Oliveira Mota et al. Am J Trop Med Hyg. .

Abstract

Dengue fever is the most common arbovirus disease, and presents with a large spectrum of clinical manifestations ranging from asymptomatic disease through to the development of dengue hemorrhagic fever. These extreme cases can lead to dengue shock syndrome, and sometimes death. Spinal cord involvement in dengue virus (DENV) infections is rare. Here, we report a case in which the patient developed acute transverse myelitis (TM) without paraparesis following a DENV infection. This case highlights the importance of physicians' awareness of the possible link between DENV and TM in endemic areas.

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Figures

Figure 1.
Figure 1.
T2-weighted magnetic resonance imaging images of the spinal cord. (A and B) Hyperintense lesion of the thoracic segment on T2-weighted images, extending from T2 through T10. No evidence of medullar expansion or significant impregnation by paramagnetic contrast, consistent with transverse myelitis. (C) T1-weighted image showing no correspondence.
See this image and copyright information in PMC

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