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The Neurological Toll Of Dengue Fever: What You Need To Know

"Neurological complications are rare in dengue fever, they can occur and manifest as diverse symptoms such as headache, altered consciousness, irritability, insomnia, and seizures", says Dr Divya Gopal, Consultant Internal Medicine Sir H.N. Reliance Foundation Hospital.

Written By Tavishi Dogra
Updated : July 21, 2024 9:54 AM IST

Dengue fever

It is a vector-borne disease primarily transmitted by Aedes mosquitoes. Its common symptoms include fever, headache, rash, muscle pain, nausea, and abdominal discomfort. Laboratory tests typically show elevated liver enzymes and reduced white blood cell and platelet counts.

Neurological complications

Although neurological complications are rare in dengue fever, they can occur and manifest as diverse symptoms such as headache, altered consciousness, irritability, insomnia, and seizures. During the acute phase, focal neurological deficits are most frequently observed and are associated with conditions like encephalitis, encephalopathy, and stroke.

Neuroinvasive diseases

Encephalitis, myelitis, and meningitis are significant neuroinvasive diseases linked to dengue fever. Meningitis is particularly rare and tends to occur more frequently in children, presenting clinical manifestations similar to those in other viral meningitis cases.

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Dengue infection

Several complications can lead to encephalopathy during the acute phase of dengue infection. These include dengue shock syndrome (DSS), brain oedema, cerebral anoxia, metabolic acidosis, electrolyte imbalances, vasculitis, and liver and kidney failure.

Neurological impact

The neurological impact of dengue fever underscores the importance of prompt medical attention and comprehensive management of the disease, mitigating the severe complications that can arise from this condition.

Conclusion

Public health measures aimed at controlling the mosquito population and preventing bites remain essential in reducing the incidence and spread of dengue fever, ultimately minimizing its neurological and other serious health consequences.