Transverse Myelitis as an Unusual Complication of Dengue Fever

Mânlio Tasso de Oliveira Mota Faculdade de Medicina de São José do Rio Preto (FAMERP), São Paulo, Brazil.

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Cássia Fernanda Estofolete Faculdade de Medicina de São José do Rio Preto (FAMERP), São Paulo, Brazil.

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Nathalia Zini Faculdade de Medicina de São José do Rio Preto (FAMERP), São Paulo, Brazil.

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Ana Carolina Bernardes Terzian Faculdade de Medicina de São José do Rio Preto (FAMERP), São Paulo, Brazil.

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Delzi Vinha Nunes Gongora Faculdade de Medicina de São José do Rio Preto (FAMERP), São Paulo, Brazil.

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Irineu Luiz Maia Faculdade de Medicina de São José do Rio Preto (FAMERP), São Paulo, Brazil.

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Maurício Lacerda Nogueira Faculdade de Medicina de São José do Rio Preto (FAMERP), São Paulo, Brazil.

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Dengue fever is the most common arbovirus disease, and presents with a large spectrum of clinical manifestations ranging from asymptomatic disease through to the development of dengue hemorrhagic fever. These extreme cases can lead to dengue shock syndrome, and sometimes death. Spinal cord involvement in dengue virus (DENV) infections is rare. Here, we report a case in which the patient developed acute transverse myelitis (TM) without paraparesis following a DENV infection. This case highlights the importance of physicians' awareness of the possible link between DENV and TM in endemic areas.

Author Notes

* Address correspondence to Maurício Lacerda Nogueira, Faculdade de Medicina de São José do Rio Preto (FAMERP), 5416 Brigadeiro Faria Lima Avenue, São José do Rio Preto, São Paulo, Brazil, 15090-000. E-mail: mnogueira@famerp.br

Authors' addresses: Mânlio Tasso de Oliveira Mota, Cássia Fernanda Estofolete, Nathalia Zini, Ana Carolina Bernardes Terzian, Delzi Vinha Nunes Gongora, Irineu Luiz Maia, and Maurício Lacerda Nogueira, Laboratory of Virology, Faculty of Medicine of São José do Rio Preto, São Paulo, Brazil, E-mails: manliotasso@gmail.com, cassiafestofolete@gmail.com, nathalia_zini@hotmail.com, anacarolinaterzian@gmail.com, delzi@famerp.br, maia@famerp.com.br, and mnogueira@famerp.br.

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