Abstract

Background: Common presentations of dengue fever include fever, thrombocytopenia, hemorrhage and shock. Sudden onset bilateral lower limb weakness i.e. paraplegia, in a patient with dengue fever is not an uncommon presentation in the emergency medicine department. Possible causes for dengue associated neuro-muscular disorders include, dengue related transverse myelitis, Guillain-Barre syndrome, myositis, rhabdomyolysis, hypokalaemic paralysis. We here present four such cases, patients with sudden onset bilateral lower limb weakness and dengue fever presenting to our emergency medicine department at a tertiary care centre in rajasthan. Our reasons for highlighting this case: dengue related neuro-muscular disorders maybe the presenting symptom in emergency medicine department, if identified early and promptly treated may result in favourable outcomes.

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