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

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What to Learn from this Article?

1. Neurological symptoms can be caused by compressive hematoma in case of hemorrhagic dengue fever.

2.Differential diagnosis & management of compressive neuropathy in hemorrhagic dengue fever


Case Report |  Volume 3 | Issue 2 | JOCR April – June  2013 | Page 25-28 | Mehtani AK, Jha A, Kataria H, Jangira V, Shukla A


Authors: Anil K Mehtani[1], Ashutosh Jha[1],  Himanshu Kataria[1], Vivek Jangira[1],  Ajay Shukla[2] 

[1] Dept of Orthopaedics Lady Harding Medical College and Smt Sucheta Kriplani Hospital, New Delhi, India.

[2]Dept of Orthopaedics, Dr RML Hospital New Delhi, India.

Address of Correspondence:

Dr. Ashutosh Jha : Dept of Orthopaedics Lady Harding Medical College and Smt Sucheta Kriplani Hospital, New Delhi, India.
Email: ashu802005@yahoo.co.in


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.

 Keywords: Dengue haemmorrhagic fever; coagulopathy; peri neural haematoma.


 

How to Cite This Article: Mehtani AK, Jha A, Kataria H, Jangira V, Shukla A. Acute compressive ulnar neuropathy in a patient of dengue fever: An unusual presentation. Journal of Orthopaedic Case Reports 2013 April-June;3(2):25-28. Available from: http://test.jocr.co.in/2013/04/13/2250-0685-097-fulltext/


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