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- Title
Posterior Reversible Encephalopathy (PRES) in a Child with Severe Dengue.
- Authors
Sawant, Yogini; Birajdar, Suresh; Doshi, Hiren; Soni, Pooja; Patkar, Deepak; Joshi, Narayan C
- Abstract
Among neurological complications associated with dengue, posterior reversible encephalopathy syndrome (PRES) has not been reported in pediatric population. We report a 10-year-old girl with severe dengue who developed PRES. The patient presented with hemorrhagic shock that required fluid resuscitation and inotropic support. She developed seizures with encephalopathy 2 days after recovering from the shock. Cerebrospinal fluid (CSF) examination was negative for dengue (no white blood cells in CSF with negative polymerase chain reaction for dengue). Her clinical features and magnetic resonance imaging (MRI) findings showed typical changes associated with posterior encephalopathy that reverted after resolution of hypertension. Repeat MRI after a month was normal. PRES should be considered as a possible differential diagnoses of dengue associated encephalopathy, especially in cases with normal CSF examination and characteristic MRI changes.
- Subjects
MAGNETIC resonance imaging; DENGUE; ARBOVIRUS diseases; CEREBROSPINAL fluid; LEUCOCYTES; POLYMERASE chain reaction; HEMORRHAGIC shock
- Publication
Journal of Tropical Pediatrics, 2020, Vol 66, Issue 3, p322
- ISSN
0142-6338
- Publication type
journal article
- DOI
10.1093/tropej/fmz060