Acute Compressive Ulnar Neuropathy In A Patient Of Dengue Fever: An Unusual Presentation

Dengue haemorrhagic fever is known for its haemorrhagic and neurologic complications. Neurologic complications are caused by three mechanism namely neurotropism, systemic complications causing encephalopathy and postinfectious immune-mediated mechanisms. However acute compressive neuropathy due to h...

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Bibliographic Details
Published inJournal of orthopaedic case reports Vol. 3; no. 2; pp. 25 - 28
Main Authors Mehtani, Anil K, Jha, Ashutosh, Kataria, Himanshu, Jangira, Vivek, Shukla, Ajay
Format Journal Article
LanguageEnglish
Published India Indian Orthopaedic Research Group 01.04.2013
Subjects
Case Report
Dengue haemmorrhagic fever
peri neural haematoma
coagulopathy
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Summary:Dengue haemorrhagic fever is known for its haemorrhagic and neurologic complications. Neurologic complications are caused by three mechanism namely neurotropism, systemic complications causing encephalopathy and postinfectious immune-mediated mechanisms. However acute compressive neuropathy due to haemorrhage is not frequent and we could find no literature describing this. We report a case of acute compressive ulnar neuropathy due to peri neural hematoma, following an attempt at intravenous cannulation in the cubital fossa in a patient of dengue haemorrhagic fever with thrombocytopenia. Immediate fasciotomy and removal of haematoma was performed to relieve the symptoms. Compression neuropathies can be seen in dengue hemorrhagic fever and removal of compressing hematoma relieves symptoms.
ISSN:2250-0685
2321-3817
DOI:10.13107/jocr.2250-0685.097