Post-dengue parkinsonism

BMC Infect Dis. 2013 Apr 18:13:179. doi: 10.1186/1471-2334-13-179.

Abstract

Background: Dengue is a common illness in the tropics. Equally common are neurological complications that stem from dengue infection. However, to date, parkinsonism following dengue has not been reported in medical literature.

Case presentation: A previously well 18-year old man developed parkinsonism, in addition to other neurological symptoms following serologically confirmed dengue fever. Alternative etiologies were excluded by way of imaging and blood investigations.

Conclusions: The authors detail the first reported case of parkinsonism complicating dengue fever. Keeping rare presentations of common illnesses in mind, it behoves clinicians to consider parkinsonism as a complication following dengue infection. This would prevent injudicious treatment with L-dopa and dopamine agonists. Immunosuppression with steroids has been shown to be helpful in certain cases.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Brain / diagnostic imaging
  • Dengue / complications*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Parkinsonian Disorders / diagnosis*
  • Parkinsonian Disorders / pathology*
  • Radiography