Subdural Effusion in Dengue Hemorrhagic Fever

One Case Report

ผู้แต่ง

  • Surachai Kiatchalpipat, M.D. กลุ่มงานกุมารเวชกรรม โรงพยาบาลราชบุรี

บทคัดย่อ

Neurological manifestation in Dengue haemorrhagic fever is not uncommon. Cases with haemorrhagic spots in subdural space, subarachnoid space, pons, thalamus, basal ganglia and cerebellum were reported. In this report the patient was admitted with the symptom of shock, coma and seizure. Diagnosis based on clinical guidance (WHO)1 suggested DHF. CT scan of the brain showed bifrontoparieial subdural effusion. Central nervous system infection was ruled out by normal CSF finding but intracranial pressure was increased (28 cm. H2O). Treatment was supportive without intravenous antibiotic. The patient recovered rapidly without detectable complication.

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2018-08-24