Isolation of dengue 2 virus from a patient with central nervous system involvement (transverse myelitis)

A dengue fever case is described in a 58-year-old male patient with febrile illness and thrombocytopenia complicated by neurological involvement characterized by transverse myelitis followed by weakness of both legs and flaccid paralysis. Muscle strength was much diminished and bilateral areflexia w...

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Main Authors: Leão Raimundo N.Q., Oikawa Teichi, Rosa Elizabeth S.T., Yamaki José T., Rodrigues Sueli G., Vasconcelos Helena B., Sousa Maria R.S., Tsukimata Jaime K., Azevedo Raimunda S.S., Vasconcelos Pedro F.C.
Format: Article
Language:English
Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2002-01-01
Series:Revista da Sociedade Brasileira de Medicina Tropical
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822002000400018
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author Leão Raimundo N.Q.
Oikawa Teichi
Rosa Elizabeth S.T.
Yamaki José T.
Rodrigues Sueli G.
Vasconcelos Helena B.
Sousa Maria R.S.
Tsukimata Jaime K.
Azevedo Raimunda S.S.
Vasconcelos Pedro F.C.
author_facet Leão Raimundo N.Q.
Oikawa Teichi
Rosa Elizabeth S.T.
Yamaki José T.
Rodrigues Sueli G.
Vasconcelos Helena B.
Sousa Maria R.S.
Tsukimata Jaime K.
Azevedo Raimunda S.S.
Vasconcelos Pedro F.C.
author_sort Leão Raimundo N.Q.
collection DOAJ
description A dengue fever case is described in a 58-year-old male patient with febrile illness and thrombocytopenia complicated by neurological involvement characterized by transverse myelitis followed by weakness of both legs and flaccid paralysis. Muscle strength was much diminished and bilateral areflexia was observed. Dengue 2 (DEN-2) virus was isolated and the patient sero-converted by hemagglutination-inhibition and IgM-ELISA tests. The RT-PCR test was positive to DEN-2 in acute phase serum and culture supernatant, but negative in the cerebrospinal fluid. After three weeks of hospitalization the patient was discharged. No other infectious agent was detected in the blood and cerebrospinal fluid samples. The patient had full recovery from paralysis six months after the onset of DEN-2 infection.
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spelling doaj.art-25f2b0c33e574d2e8b969515cf2024932022-12-22T02:30:39ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical0037-86821678-98492002-01-01354401404Isolation of dengue 2 virus from a patient with central nervous system involvement (transverse myelitis)Leão Raimundo N.Q.Oikawa TeichiRosa Elizabeth S.T.Yamaki José T.Rodrigues Sueli G.Vasconcelos Helena B.Sousa Maria R.S.Tsukimata Jaime K.Azevedo Raimunda S.S.Vasconcelos Pedro F.C.A dengue fever case is described in a 58-year-old male patient with febrile illness and thrombocytopenia complicated by neurological involvement characterized by transverse myelitis followed by weakness of both legs and flaccid paralysis. Muscle strength was much diminished and bilateral areflexia was observed. Dengue 2 (DEN-2) virus was isolated and the patient sero-converted by hemagglutination-inhibition and IgM-ELISA tests. The RT-PCR test was positive to DEN-2 in acute phase serum and culture supernatant, but negative in the cerebrospinal fluid. After three weeks of hospitalization the patient was discharged. No other infectious agent was detected in the blood and cerebrospinal fluid samples. The patient had full recovery from paralysis six months after the onset of DEN-2 infection.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822002000400018Dengue feverTransverse myelitisDengue 2Virus isolationRT-PCR
spellingShingle Leão Raimundo N.Q.
Oikawa Teichi
Rosa Elizabeth S.T.
Yamaki José T.
Rodrigues Sueli G.
Vasconcelos Helena B.
Sousa Maria R.S.
Tsukimata Jaime K.
Azevedo Raimunda S.S.
Vasconcelos Pedro F.C.
Isolation of dengue 2 virus from a patient with central nervous system involvement (transverse myelitis)
Revista da Sociedade Brasileira de Medicina Tropical
Dengue fever
Transverse myelitis
Dengue 2
Virus isolation
RT-PCR
title Isolation of dengue 2 virus from a patient with central nervous system involvement (transverse myelitis)
title_full Isolation of dengue 2 virus from a patient with central nervous system involvement (transverse myelitis)
title_fullStr Isolation of dengue 2 virus from a patient with central nervous system involvement (transverse myelitis)
title_full_unstemmed Isolation of dengue 2 virus from a patient with central nervous system involvement (transverse myelitis)
title_short Isolation of dengue 2 virus from a patient with central nervous system involvement (transverse myelitis)
title_sort isolation of dengue 2 virus from a patient with central nervous system involvement transverse myelitis
topic Dengue fever
Transverse myelitis
Dengue 2
Virus isolation
RT-PCR
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822002000400018
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