Rationale:Dengue fever is a mosquito-borne viral infection,which commonly presents as an acute febrile illness.As the number of cases increases,rare manifestations including neurological manifestations are occasionall...Rationale:Dengue fever is a mosquito-borne viral infection,which commonly presents as an acute febrile illness.As the number of cases increases,rare manifestations including neurological manifestations are occasionally encountered.Patient concerns:A 20-year-old female presented with fever for 3 days with slurring of speech and unsteady gait,which were developed from the third day of illness.On examination,she had bilateral cerebellar signs.Dengue non-structural protein 1 antigen and dengue IgM in serum were positive.Her cerebrospinal fluid analysis and magnetic resonance image brain were normal.Diagnosis:Dengue cerebellitis.Intervention:Supportive management with fluids including oral rehydration solutions and intravenous fluids and paracetamol.Outcome:Cerebellar symptoms and signs completely resolved by the 20th day of illness.Lesson:Dengue cerebellitis is an unusual neurological manifestation of dengue infection.展开更多
文摘Rationale:Dengue fever is a mosquito-borne viral infection,which commonly presents as an acute febrile illness.As the number of cases increases,rare manifestations including neurological manifestations are occasionally encountered.Patient concerns:A 20-year-old female presented with fever for 3 days with slurring of speech and unsteady gait,which were developed from the third day of illness.On examination,she had bilateral cerebellar signs.Dengue non-structural protein 1 antigen and dengue IgM in serum were positive.Her cerebrospinal fluid analysis and magnetic resonance image brain were normal.Diagnosis:Dengue cerebellitis.Intervention:Supportive management with fluids including oral rehydration solutions and intravenous fluids and paracetamol.Outcome:Cerebellar symptoms and signs completely resolved by the 20th day of illness.Lesson:Dengue cerebellitis is an unusual neurological manifestation of dengue infection.
