Acute hypokalemic quadriparesis: an atypical neurological manifestation of dengue virus

Excerpt

Dengue is the most common arboviral disease worldwide which is caused by four virus serotypes (Gulati and Maheshwari 2007). In India, cases of dengue have steadily increased over the past decade with almost 50,000 people affected in the year 2012 (Chaudhuri 2013). Clinically, dengue fever can be asymptomatic, or present as undifferentiated fever or as dengue haemorrhagic fever. As more and more people are being affected with dengue fever, many atypical manifestations are being witnessed. Neurological manifestations are not reported frequently and their exact incidence remains unknown. Acute onset quadriparesis in dengue fever could be due to myositis, Guillain-Barre Syndrome (GBS), or hypokalemia (Murthy 2010). We herein report a case of acute onset rapidly progressive quadriparesis due to hypokalemia in a confirmed case of dengue fever. …