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to have dengue IgM antibody positive. Vasculitic cytological dissociation was present in our case, but
markers, serum ACE and lyme serology were negative. electrophysiological evaluation and neurological
He underwent CSF evaluation which revealed evaluation was normal except bilateral lower motor
cytoalbuminologic dissociation. (Cell count: 10, 100% neuron type facial weakness. Our case calls for special
lymphocytes, Protein: 100, Sugar: 77, PCR for CMV: attention because the dengue infection remains a
Negative, PCR for Herpes: Negative). He was managed serious public health problem in tropical countries
with low dose steroid and physiotherapy. His facial such as India, but little is known about the actual
weakness improved gradually and was discharged. incidence of neurological complication of dengue.
DISCUSSION Financial support and sponsorship
Nil.
Dengue has been a known clinical entity since 1780. [4]
The association of dengue infection and neurological Conflicts of interest
abnormalities was first described by Sanguansermsri There are no conflicts of interest.
and colleagues in 1976, in a patient presenting with
encephalopathy. Many neurological symptoms are REFERENCES
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64 Neuroimmunol Neuroinflammation | Volume 3 | March 14, 2016