An unusual case of transverse myelitis in dengue fever: A case report from Nepal

Abstract

Key Clinical Message Dengue fever can also have various neurological complications but involvement of the spinal cord is often unusual. This is a case where the patient had transverse myelitis as a complication of dengue fever. Abstract Dengue fever can have various neurological complications but involvement of the spinal cord is often unusual. We report a case of a 49‐year‐old female, a known case of dengue fever, who presented with urine retention, inability to stand and walk with tingling sensation of bilateral lower limbs. Her vibration and joint position sensation was reduced below T2 level along with altered reflexes but MRI could not explain the examination findings. She was diagnosed clinically as transverse myelitis (TM) in the background of dengue fever. She showed drastic improvement with treatment of steroids. As TM as a complication in a patient with dengue fever is rare, and due to the paucity of similar case reports in Nepal, this case report is of value for the scientific community.

Keywords

• dengue fever
• flavivirus
• methyl prednisolone
• transverse myelitis