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Volume 78, Issue 1
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645
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Abstract

We report a case of an adult with dengue hemorrhagic fever who developed acute idiopathic scrotal edema and glove-and-stocking polyneuropathy. A 54-year-old man who had fever, chills, bone pain, and skin rash for 4 days was admitted. We diagnosed dengue hemorrhagic fever because of fever, gum bleeding, thrombocytopenia, and hemoconcentration, and confirmed the diagnosis by serology. The patient had scrotal and penile edema and distal limb numbness with a glove-and-stocking distribution. After supportive care, the scrotal edema and other symptoms subsided. Patients with dengue hemorrhagic fever may develop scrotal edema caused by plasma leakage.

Copyright 2008 The American Society of Tropical Medicine
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2008-01-01
2018-08-21

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References

  1. World Health Organization, 1997. Clinical diagnosis. World Health Organization, eds. Dengue Hemorrhagic Fever: Diagnosis, Treatment, Prevention and Control. Second edition. Geneva: World Health Organization, 12–23.
  2. Weinberger LN, Zirwas MJ, English JC III, 2006. A diagnostic algorithm for male genital oedema. J Eur Acad Dermatol Venereol 21 : 156–162.
  3. Galejs LE, Kass EJ, 1999. Diagnosis and treatment of the acute scrotum. Am Fam Physician 59 : 817–824.
  4. Kass EJ, Lundak B, 1997. The acute scrotum. Pediatr Clin North Am 44 : 1251–1266.
  5. Lee MS, Hwang KP, Chen TC, Lu PL, Chen TP, 2006. Clinical characteristics of dengue and dengue hemorrhagic fever in a medical center of southern Taiwan during the 2002 epidemic. J Microbiol Immunol Infect 39 : 121–129.
  6. Kuo MC, Chang JM, Lu PL, Chiu YW, Chen HC, Hwang SJ, 2007. Difficulty in diagnosis and treatment of dengue hemorrhagic fever in patients with chronic renal failure: report of three cases of mortality. Am J Trop Med Hyg 76 : 752–756.
  7. Shu PY, Chen LK, Chang SF, Yueh YY, Chow L, Chien LJ, Chin C, Lin TH, Huang JH, 2003. Comparison of capture immunoglobulin M (IgM) and IgG enzyme-linked immunosorbent assay (ELISA) and nonstructural protein NS1 serotype-specific IgG ELISA for differentiation of primary and secondary dengue virus infections. Clin Diagn Lab Immunol 10 : 622–630.
  8. Innis BL, Nisalak A, Nimmannitya S, Kusalerdchariya S, Chongswasdi V, Suntayakorn S, Puttisri P, Hoke CH, 1989. An enzyme-linked immunosorbent assay to characterize dengue infections where dengue and Japanese encephalitis co-circulate. Am J Trop Med Hyg 40 : 418–427.
  9. Qvist O, 1956. Swelling of the scrotum in infants and children, and non-specific epididymitis. A study of 158 cases. Acta Chir Scand 110 : 417–421.
  10. Nicholas JL, Morgan A, Zachary RB, 1970. Idiopathic edema of scrotum in young boys. Surgery 67 : 847–850.
  11. Najmaldin A, Burge DM, 1987. Acute idiopathic scrotal oedema: incidence, manifestations and aetiology. Br J Surg 74 : 634–635.
  12. Brandes SB, Chelsky MJ, Hanno PM, 1994. Adult acute idiopathic scrotal edema. Urology 44 : 602–605.
  13. Sasso F, Nucci G, Palmiotto F, Giurtacchini M, Alchini E, 1990. Acute idiopathic scrotal oedema: rare disorder or difficult diagnosis. In Urol Nephrol 22 : 475–478.
  14. Kinn AC, Eld J, 2003. Acute erysipelatous oedema in the scrotum. Scand J Urol Nephrol 37 : 366–367.
  15. Shah J, Qureshi I, Ellis BW, 2004. Acute idiopathic scrotal oedema in an adult: a case report. Int J Clin Pract 58 : 1168–1169.
  16. Fahal AH, Suliman SH, Sharfi AR, El Mahadi EMA, 1993. Acute idiopathic scrotal oedema in association with diabetic septic foot. Diabetes Res Clin Pract 21 : 197–200.
  17. Fink J, Gu F, Vasudevan SG, 2006. Role of T cells, cytokines and antibody in dengue fever and dengue hemorrhagic fever. Rev Med Virol 16 : 263–275.
  18. Patey O, Ollivaud L, Breuil J, Lafaix C, 1993. Unusual neurologic manifestations occurring during dengue fever infection. Am J Trop Med Hyg 48 : 793–802.
  19. Chen TC, Perng DS, Tsai JJ, Lu PL, Chen TP, 2004. Dengue hemorrhagic fever complicated with acute pancreatitis and seizure. J Formos Med Assoc 103 : 865–868.
  20. Palmada Cunha-Matta A, Soares-Moreno SA, Cardoso-de Almeida A, Aquilera-de Freitas V, Carod-Artal FJ, 2004. Neurological complications arising from dengue virus infection. Rev Neurol 39 : 233–237.
  21. Miranda de Sousa A, Puccioni-Sohler M, Dias Borges A, Fernandes Adorno L, Papais Alvarenga M, Papais Alvarenga RM, 2006. Post-dengue neuromyelitis optica: case report of a Japanese-descendent Brazilian child. J Infect Chemother 12 : 396–398.
  22. Acevedo J, Casanova MF, Antonini AC, Morales H, 1982. Acute polyneuritis associated with dengue. Lancet 1 : 1357.
  23. Paul C, Dupont B, Pialoux G, 1990. Acute polyradiculoneuritis secondary to dengue. Presse Med 19 : 1503.
  24. Sainte-Foie S, Niel L, Moreau JP, Ast-Ravallec, Chippaux A, 1993. A case of polyradiculoneuritis associated with dengue in a patient native to French Guiana. Bull Soc Pathol Exol 86 : 117–118.
  25. Hwang KP, Su SC, Chiang CH, 1989. Clinical observations of dengue fever among children. Kaohsiung J Med Sci 5 : 50–57.
  26. Chimeli L, Hahn MD, Netto MB, Ramos RG, Dias M, Gray F, 1990. Dengue: neuropathological findings in 5 fatal cases from Brazil. Clin Neuropathol 9 : 157–162.
  27. Bhoopat L, Bhamarapravati N, Attasiri C, Yoksarn S, Chaiwun B, Khunamornpong S, Sirisanthana V, 1996. Immunohistochemical characterization of a new monoclonal antibody reactive with dengue virus-infected cells in frozen tissue using immunoperoxidase technique. Asian Pac J Allergy Immunol 14 : 107–113.
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Dengue Hemorrhagic Fever Complicated with Acute Idiopathic Scrotal Edema and Polyneuropathy
The American Journal of Tropical Medicine and Hygiene 78, 8 (2008); https://doi.org/10.4269/ajtmh.2008.78.8
/content/journals/10.4269/ajtmh.2008.78.8
/content/journals/10.4269/ajtmh.2008.78.8
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  • Received : 29 Aug 2007
  • Accepted : 10 Oct 2007

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