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Open Access Highly Accessed Case report

Post-dengue parkinsonism

Shahrul Azmin, Ramesh Sahathevan*, Zainudin Suehazlyn, Zhe Kang Law, Remli Rabani, Wan Yahya Nafisah, Hui Jan Tan and Mohamed Ibrahim Norlinah

Author affiliations

Department of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia

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Citation and License

BMC Infectious Diseases 2013, 13:179  doi:10.1186/1471-2334-13-179

Published: 18 April 2013

Abstract

Background

Dengue is a common illness in the tropics. Equally common are neurological complications that stem from dengue infection. However, to date, parkinsonism following dengue has not been reported in medical literature.

Case presentation

A previously well 18-year old man developed parkinsonism, in addition to other neurological symptoms following serologically confirmed dengue fever. Alternative etiologies were excluded by way of imaging and blood investigations.

Conclusions

The authors detail the first reported case of parkinsonism complicating dengue fever. Keeping rare presentations of common illnesses in mind, it behoves clinicians to consider parkinsonism as a complication following dengue infection. This would prevent injudicious treatment with L-dopa and dopamine agonists. Immunosuppression with steroids has been shown to be helpful in certain cases.

Keywords:
Parkinsonism; Dengue fever