Dengue Encephalitis

Dengue Encephalitis

1. Dengue encephalitis Ade Wijaya, MD – May 2021

2. Background Dengue fever is one of the most common tropical diseases which is caused by single-stranded RNA viruses of four different serotypes: DEN-1, 2, 3 and 4; under the family of  Flaviviridae  which is often transmitted by  Aedes aegypti . Acute febrile illness Baheti G, Mehta V, Ramchandani M, Ghosh GC. Dengue fever with encephalitis: a rare phenomenon. Case Reports. 2018 Jun 15;2018:bcr-2018.

3. DENGUE ENCEPHALITIS ENCEPHALOPATHY: Secondary to multisystem dysfunction which includes shock, acute respiratory distress syndrome, hepatitis and secondary bacterial infection ENCEPHALITIS (RARE) Due to the viral infection itself, direct neuronal infiltration Baheti G, Mehta V, Ramchandani M, Ghosh GC. Dengue fever with encephalitis: a rare phenomenon. Case Reports. 2018 Jun 15;2018:bcr-2018.

4. CLINICAL FEATURES

5. Clinical Features

6. Clinical features

7. Diagnosis Positive NS1 Positive serum dengue IgM Positive CSF dengue IgM MRI Baheti G, Mehta V, Ramchandani M, Ghosh GC. Dengue fever with encephalitis: a rare phenomenon. Case Reports. 2018 Jun 15;2018:bcr-2018.

8. Treatment General management of viral encephalitis includes monitoring and maintenance of the airway and of adequate oxygenation, hydration, and nutrition Antiepileptic drugs for seizures ICP treatments with either mannitol or steroids Varatharaj A. Encephalitis in the clinical spectrum of dengue infection. Neurology India. 2010 Jul 1;58(4):585.

9. prognosis

10. SUmmary Dengue encephalitis, though a rare diagnosis, should be considered a differential in cases of febrile encephalopathies, especially at the times of a dengue epidemic. The primary features of dengue encephalitis are fever, headache, reduced consciousness, and seizures, although other neurologic manifestations may be evident Self-limiting  supportive treatment

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