ENCEPHALITIS MANIFESTATION IN A PATIENT WITH EXPANDED DENGUE SYNDROME

The expansion of dengue symptoms to other organs has been known as expanded dengue syndrome. One form of this is encephalitis. An 18-year-old male was reported to have communication disruption for one day, high fever for 4 days, headache, retroorbital pain, and myalgia. Thrombocytopenia, hemoconcentration, NS1, and IgG-IgM dengue were positive in laboratory testing. Brain CT results gyral enhancement on the right and left side frontotemporoparieto-occipital lobe, hypodense area with unclear border on occipital lobe, effacement of sulci and gyri. Dengue hemorrhagic fever and encephalitis were the patient's diagnoses. After five days of therapy, the condition
improved. Febrile seizures, intracranial thrombosis/ hemorrhages, encephalopathy, aseptic meningitis/ encephalitis, transverse myelitis, polyneuropathies/ mononeuropathies/ Guillain-Barre Syndrome, and subdural effusions are the
neurological signs of expanded dengue infection. CNS involvement reflects severe disease with poorer recovery. A case of encephalitis in a patient with dengue hemorrhagic fever has been reported. Supportive management improves.