ATYPICAL PRESENTATION OF DENGUE FEVER WITH HYPOKALEMIC PARALYSIS - A CASE REPORT

Nagesh*, Aishwarya, Manish and P. G. Kumar

ABSTRACT

Acute hypokalemic paralysis is a rare but significant complication of dengue infection. Dengue can present in
various forms, from mild fever to severe conditions like dengue hemorrhagic fever or shock syndrome. Although
neurological manifestations are uncommon, they can include serious conditions such as encephalopathy, Guillain-
Barré syndrome, and hypokalemic paralysis.[1] In this case, a 32-year-old man presented to the emergency room
with fever and bilateral lower limb weakness, which was linked to significantly low potassium levels. His
symptoms resolved with potassium repletion, underscoring the critical need for early recognition and treatment of
electrolyte imbalances in dengue patients to prevent severe outcomes.

Keywords: Dengue fever, Dengue hemorrhagic fever, or Dengue shock syndrome, encephalopathy, meningoencephalitis, myositis, GB syndrome, rhabdomyolysis, myelitis, stroke, hypokalemic paralysis.