1. Neurological symptoms can be caused by compressive hematoma in case of hemorrhagic dengue fever.
2.Differential diagnosis & management of compressive neuropathy in hemorrhagic dengue fever
Dr. Ashutosh Jha : Dept of Orthopaedics Lady Harding Medical College and Smt Sucheta Kriplani Hospital, New Delhi, India. Email: ashu802005@yahoo.co.in
Introduction: Dengue haemorrhagic fever is known for its haemorrhagic and neurologic complications. Neurologic complications are caused by three mechanism namely neurotropism, systemic complications causing encephalopathy and postinfectious immune-mediated mechanisms. However acute compressive neuropathy due to haemorrhage is not frequent and we could find no literature describing this
Case Report: We report a case of acute compressive ulnar neuropathy due to peri neural hematoma, following an attempt at intravenous cannulation in the cubital fossa in a patient of dengue haemorrhagic fever with thrombocytopenia. Immediate fasciotomy and removal of haematoma was performed to relieve the symptoms.
Conclusion: Compression neuropathies can be seen in dengue hemorrhagic fever and removal of compressing hematoma relieves symptoms.
Keywords: Dengue haemmorrhagic fever; coagulopathy; peri neural haematoma.
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