Acute hemorrhagic leukoencephalitis a rare presentation of dengue fever: a case report

Abstract

Dengue virus infection is widespread in the tropics and infection ranges from asymptomatic to dengue fever, dengue hemorrhagic fever and dengue shock syndrome. It rarely leads to neurological complications because it is classically a non-neurotropic virus. Encephalitis, meningitis, encephalopathy, acute disseminated encephalomyelitis (ADEM), polyneuropathy, mononeuropathy, intracerebral hemorrhage and Guillain-Barre syndrome are very rare neurological manifestations seen in dengue. The list of neurological complications should also include “Dengue hemorrhagic leukoencephalitis is a very rare manifestation of this virus. Here we present a case of a 23 year old male having dengue fever and developing acute hemorrhagic leukoencephalitis during the course of the disease.

Keywords: Dengue fever, acute hemorrhagic leukoencephalitis, meningitis