Dengue-Associated Posterior Reversible Encephalopathy Syndrome, Vietnam

Emerg Infect Dis. 2018 Feb;24(2):402-404. doi: 10.3201/eid2402.171634.

Abstract

Dengue can cause neurologic complications in addition to the more common manifestations of plasma leakage and coagulopathy. Posterior reversible encephalopathy syndrome has rarely been described in dengue, although the pathophysiology of endothelial dysfunction likely underlies both. We describe a case of dengue-associated posterior reversible encephalopathy syndrome and discuss diagnosis and management.

Keywords: ADEM; PRES; Vietnam; acute demyelinating encephalomyelitis; dengue; encephalopathy; endothelial dysfunction; meningitis/encephalitis; neurologic; posterior reversible encephalopathy syndrome; viruses.

Publication types

  • Case Reports
  • Letter

MeSH terms

  • Dengue / complications*
  • Female
  • Humans
  • Methylprednisolone / therapeutic use
  • Middle Aged
  • Posterior Leukoencephalopathy Syndrome / diagnostic imaging
  • Posterior Leukoencephalopathy Syndrome / drug therapy
  • Posterior Leukoencephalopathy Syndrome / etiology*
  • Vietnam / epidemiology

Substances

  • Methylprednisolone