Acute Compressive Ulnar Neuropathy In A Patient Of Dengue Fever: An Unusual Presentation

登革热患者急性尺神经压迫性病变:一种不常见的表现

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Abstract

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.

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