Encephalopathy Clusters Conflated with Encephalitis Outbreaks Atypical Manifestations of Dengue Fever
نویسنده
چکیده
So-called ‘Saharanpur encephalitis,’ with high case fatality, used to occur annually, post-monsoon, in Western districts of Uttar Pradesh (UP). Over 2 decades, Indian Council of Medical Research (ICMR) and National Centre for Disease Control (NCDC) staff failed to diagnose it. A team of volunteer investigators (T Jacob John, virologist; VM Vashishtha, pediatrician; NC Nayak, pathologist; Amod Kumar, epidemiologist; and Mukul Das, toxicologist) diagnosed this encephalopathy with focal liver and muscle necrosis (hepatomyoencephalopathy) to be caused by phytotoxins of Cassia occidentals [1].
منابع مشابه
Atypical manifestations of dengue fever.
We reviewed case records of 40 in-patients (22 boys) with serologically confirmed dengue fever between 1st October and 30th November, 2013. Severe dengue was seen in 30, out of which 12 (30%) had compensated shock. Splenomegaly (6,15%) and encephalopathy (4,10%) were the commonest atypical features. Atypical manifestations of dengue fever were more common than that reported in the past.
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