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Neurological Complications in a Polynesian Traveler with Dengue.

Abstract

In recent times, there has been an increased focus on mosquito-borne Flaviviruses, in particular dengue and Zika. With the reappearance of dengue in Hawai'i and the mainland United States (US), clinicians should be aware of both the common presentations of dengue, as well as other less common complications associated with the disease. Dengue can result in neurologic disorders such as encephalopathy, encephalitis, immune-mediated syndromes, neuromuscular dysfunction, and neuro-ophthalmologic disorders. We present an interesting case of dengue that initially presented with classic symptoms (arthropathy, biphasic fever, and rash) and subsequently developed into a neurologic movement disorder with muscle tightening and twitching of the face, chest, and extremities. We review and update the epidemiology, biology, the clinical presentations including the neurologic complications associated with dengue, as well as their management and areas of future study in this field.

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  • Authors+Show Affiliations

    ,

    University of Hawai'i, John A. Burns School of Medicine, Honolulu, HI.

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    University of Hawai'i, John A. Burns School of Medicine, Honolulu, HI.

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    University of Hawai'i, John A. Burns School of Medicine, Honolulu, HI.

    ,

    University of Hawai'i, John A. Burns School of Medicine, Honolulu, HI.

    University of Hawai'i, John A. Burns School of Medicine, Honolulu, HI.

    Source

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    29018589