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Case Report: Dengue hemorrhagic fever with ischemic stroke.

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dc.contributor.author Basnayake, B.W.M.K.E.
dc.contributor.author Somaratne, K.G.S.K.
dc.contributor.author Goonetilleke, C.U.
dc.contributor.author Tilakaratna, P.M.Y.I.
dc.contributor.author Ranawaka, U.K.
dc.date.accessioned 2022-01-03T07:35:26Z
dc.date.available 2022-01-03T07:35:26Z
dc.date.issued 2022
dc.identifier.citation American Journal of Tropical Medicine and Hygiene.2022;106(2):578-581 [Epub 2021 .Nov 15] en_US
dc.identifier.issn 0002-9637 (Print)
dc.identifier.uri http://repository.kln.ac.lk/handle/123456789/24315
dc.description Indexed in MEDLINE. en_US
dc.description.abstract Several neurological manifestations are recognized in dengue infection, but stroke is a rare complication. We report a case of ischemic stroke in a patient with dengue hemorrhagic fever. A 52-year-old previously healthy male presented with a history of fever for 2 days, and left-sided weakness and numbness of sudden onset. MRI scanning showed a right-sided thalamic lacunar infarct. Diagnosis of dengue fever was made based on leuco-thrombocytopenia, positive dengue nonstructural protein-1 (NS-1) antigen, and positive dengue IgM antibodies. Severity of limb weakness correlated with the critical phase of dengue hemorrhagic fever (DHF). He was discharged home with good recovery from neurological symptoms and disability. Strokes are rare in dengue, and are mainly hemorrhagic strokes related to thrombocytopenia. Ischemic stroke is even rarer. More evidence is needed for confirmation of dengue as a pathogenic mechanism of ischemic stroke. en_US
dc.language.iso en en_US
dc.publisher American Society of Tropical Medicine and Hygiene en_US
dc.subject Dengue en_US
dc.subject Severe Dengue en_US
dc.title Case Report: Dengue hemorrhagic fever with ischemic stroke. en_US
dc.type Case Report en_US


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