Open AccessConcurrent Guillain-Barré syndrome and myositis complicating dengue fever
Author(s) -
Manisha Gulia,
Preeti Dalal,
Meena Gupta,
Daljeet Kaur
Publication year - 2020
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-232940
Subject(s) - medicine , myalgia , dengue fever , myositis , guillain barre syndrome , dermatology , dengue virus , chikungunya , weakness , complication , rhabdomyolysis , creatine kinase , surgery , pediatrics , immunology
Dengue is an arboviral infection that classically presents with fever, headache, joint pain, skin flush and morbilliform rashes. Neurological manifestations are well recognised but their exact incidence is unknown. Though myalgias are common in dengue virus infection, myositis and/or elevated serum creatine kinase is an uncommon complication. Guillain-Barré syndrome is another rare neurological manifestation associated with dengue fever. Here, we report the case of a 21-year-old man with serologically confirmed dengue fever presenting with severe myalgia, bilateral lower and upper limb weakness with raised creatine kinase, MRI suggestive of myositis and myonecrosis and nerve conduction velocity showing bilateral lower limb and axillary sensory motor neuropathy. He was managed conservatively and made an uneventful recovery.