Expanded Dengue Syndrome - A Lesson Learnt
Arun Agarwal *
Department of Internal Medicine, Narayana Multispeciality Hospital, Jaipur, Rajasthan, India.
Prashant Singh
Department of Neurology, Narayana Multispeciality Hospital, Jaipur, Rajasthan, India.
Aakanksha Agarwal
Department of Radiodiagnosis, SMS Medical College and Hospital, Jaipur, Rajasthan, India.
Gopesh Tiwari
Department of Critical Care, Narayana Multispeciality Hospital, Jaipur, Rajasthan, India.
*Author to whom correspondence should be addressed.
Abstract
Dengue virus (DV) is omnipresent, globally distributed flavivirus and is primarily transmitted by the Aedes aegypti mosquito, found through-out the tropical and subtropical regions of over 100 countries. Unusual manifestations of Dengue fever (DF) with severe organ involvement such as liver, kidneys, brain or heart associated with dengue infection have been increasingly reported in dengue hemorrhagic fever (DHF) and also in dengue patients who do not have evidence of plasma leakage. Expanded dengue syndrome is a new term added into World Health Organization (WHO) classification system to incorporate this wide spectrum of unusual manifestations. We report a case of tropical fever that presented as suspected brain stroke with seizures and later diagnosed to have dengue fever-expanded dengue syndrome. The presentation, diagnostic dilemma and management are discussed.
Keywords: Dengue fever (DF), dengue hemorrhagic fever (DHF), expanded dengue syndrome (EDS), neurological dysfunctions, ecchymosis.