Severe dengue associated with aseptic meningitis, acute kidney injury, and sudden sensorineural hearing loss: a case report
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da Universidade Federal do Ceará (UFC) |
dARK ID: | ark:/83112/001300000qqt6 |
Texto Completo: | http://www.repositorio.ufc.br/handle/riufc/58646 |
Resumo: | Rationale: Dengue is the most important human arboviral disease. Neurological manifestations occur rarely in dengue. To the best of our knowledge, there is only one reported case of dengue-associated sudden sensorineural hearing loss (SSNHL) in Brazil untill now. Patient concerns: A 42-year-old man was presented to the emergency department with unconsciousness and generalized tonic clonic seizures. Diagnosis: Dengue-associated aseptic meningitis, acute kidney injury, and SSNHL. Interventions: The patient was treated with anticonvulsants and thiamine and underwent mechanical ventilation. He received combined ceftriaxone and acyclovir, which were later switched to meropenem, acyclovir and ampicillin empirically until culture results became available. He also required hemodialysis and plasmapheresis sessions and fresh frozen plasma and buffy coat transfusions until definitive diagnosis. Outcomes: The patient was discharged after improvement of his general condition and of his blood test results, but hearing loss remained. A six-month follow-up visit showed persistent deafness. Lessons: Dengue should be included in the differential diagnosis of patients from dengue-endemic areas presenting an acute febrile disease with neurological manifestations. To the best of our knowledge, this is the second reported case of dengue associated SSNHL, suggesting an association between dengue and development of SSNHL. |
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Severe dengue associated with aseptic meningitis, acute kidney injury, and sudden sensorineural hearing loss: a case reportDengueMeningite AssépticaMeningitis, AsepticLesão Renal AgudaAcute Kidney InjuryPerda Auditiva NeurossensorialHearing Loss, SensorineuralDeafnessSurdezRationale: Dengue is the most important human arboviral disease. Neurological manifestations occur rarely in dengue. To the best of our knowledge, there is only one reported case of dengue-associated sudden sensorineural hearing loss (SSNHL) in Brazil untill now. Patient concerns: A 42-year-old man was presented to the emergency department with unconsciousness and generalized tonic clonic seizures. Diagnosis: Dengue-associated aseptic meningitis, acute kidney injury, and SSNHL. Interventions: The patient was treated with anticonvulsants and thiamine and underwent mechanical ventilation. He received combined ceftriaxone and acyclovir, which were later switched to meropenem, acyclovir and ampicillin empirically until culture results became available. He also required hemodialysis and plasmapheresis sessions and fresh frozen plasma and buffy coat transfusions until definitive diagnosis. Outcomes: The patient was discharged after improvement of his general condition and of his blood test results, but hearing loss remained. A six-month follow-up visit showed persistent deafness. Lessons: Dengue should be included in the differential diagnosis of patients from dengue-endemic areas presenting an acute febrile disease with neurological manifestations. To the best of our knowledge, this is the second reported case of dengue associated SSNHL, suggesting an association between dengue and development of SSNHL.Asian Pacific Journal of Tropical Medicine2021-05-26T14:08:41Z2021-05-26T14:08:41Z2021info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfDINIZ, Renan G. M. et al. Severe dengue associated with aseptic meningitis, acute kidney injury, and sudden sensorineural hearing loss: a case report. Asian Pacific Journal of Tropical Medicine, v. 14, n. 4, p. 187-190, may, 2021. Disponível em:http://www.repositorio.ufc.br/retrieve/133079/2021_art_rgmdiniz.pdf. Acesso em: 26/05/2021.1.1995-7645http://www.repositorio.ufc.br/handle/riufc/58646ark:/83112/001300000qqt6Diniz, Renan G. M.Santos, Elaine C. dosChagas, Gabriel C. L.Daher, Elizabeth de Francescoengreponame:Repositório Institucional da Universidade Federal do Ceará (UFC)instname:Universidade Federal do Ceará (UFC)instacron:UFCinfo:eu-repo/semantics/openAccess2022-03-04T19:38:40Zoai:repositorio.ufc.br:riufc/58646Repositório InstitucionalPUBhttp://www.repositorio.ufc.br/ri-oai/requestbu@ufc.br || repositorio@ufc.bropendoar:2024-09-11T18:15:49.892688Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC)false |
dc.title.none.fl_str_mv |
Severe dengue associated with aseptic meningitis, acute kidney injury, and sudden sensorineural hearing loss: a case report |
title |
Severe dengue associated with aseptic meningitis, acute kidney injury, and sudden sensorineural hearing loss: a case report |
spellingShingle |
Severe dengue associated with aseptic meningitis, acute kidney injury, and sudden sensorineural hearing loss: a case report Diniz, Renan G. M. Dengue Meningite Asséptica Meningitis, Aseptic Lesão Renal Aguda Acute Kidney Injury Perda Auditiva Neurossensorial Hearing Loss, Sensorineural Deafness Surdez |
title_short |
Severe dengue associated with aseptic meningitis, acute kidney injury, and sudden sensorineural hearing loss: a case report |
title_full |
Severe dengue associated with aseptic meningitis, acute kidney injury, and sudden sensorineural hearing loss: a case report |
title_fullStr |
Severe dengue associated with aseptic meningitis, acute kidney injury, and sudden sensorineural hearing loss: a case report |
title_full_unstemmed |
Severe dengue associated with aseptic meningitis, acute kidney injury, and sudden sensorineural hearing loss: a case report |
title_sort |
Severe dengue associated with aseptic meningitis, acute kidney injury, and sudden sensorineural hearing loss: a case report |
author |
Diniz, Renan G. M. |
author_facet |
Diniz, Renan G. M. Santos, Elaine C. dos Chagas, Gabriel C. L. Daher, Elizabeth de Francesco |
author_role |
author |
author2 |
Santos, Elaine C. dos Chagas, Gabriel C. L. Daher, Elizabeth de Francesco |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Diniz, Renan G. M. Santos, Elaine C. dos Chagas, Gabriel C. L. Daher, Elizabeth de Francesco |
dc.subject.por.fl_str_mv |
Dengue Meningite Asséptica Meningitis, Aseptic Lesão Renal Aguda Acute Kidney Injury Perda Auditiva Neurossensorial Hearing Loss, Sensorineural Deafness Surdez |
topic |
Dengue Meningite Asséptica Meningitis, Aseptic Lesão Renal Aguda Acute Kidney Injury Perda Auditiva Neurossensorial Hearing Loss, Sensorineural Deafness Surdez |
description |
Rationale: Dengue is the most important human arboviral disease. Neurological manifestations occur rarely in dengue. To the best of our knowledge, there is only one reported case of dengue-associated sudden sensorineural hearing loss (SSNHL) in Brazil untill now. Patient concerns: A 42-year-old man was presented to the emergency department with unconsciousness and generalized tonic clonic seizures. Diagnosis: Dengue-associated aseptic meningitis, acute kidney injury, and SSNHL. Interventions: The patient was treated with anticonvulsants and thiamine and underwent mechanical ventilation. He received combined ceftriaxone and acyclovir, which were later switched to meropenem, acyclovir and ampicillin empirically until culture results became available. He also required hemodialysis and plasmapheresis sessions and fresh frozen plasma and buffy coat transfusions until definitive diagnosis. Outcomes: The patient was discharged after improvement of his general condition and of his blood test results, but hearing loss remained. A six-month follow-up visit showed persistent deafness. Lessons: Dengue should be included in the differential diagnosis of patients from dengue-endemic areas presenting an acute febrile disease with neurological manifestations. To the best of our knowledge, this is the second reported case of dengue associated SSNHL, suggesting an association between dengue and development of SSNHL. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-05-26T14:08:41Z 2021-05-26T14:08:41Z 2021 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
DINIZ, Renan G. M. et al. Severe dengue associated with aseptic meningitis, acute kidney injury, and sudden sensorineural hearing loss: a case report. Asian Pacific Journal of Tropical Medicine, v. 14, n. 4, p. 187-190, may, 2021. Disponível em:http://www.repositorio.ufc.br/retrieve/133079/2021_art_rgmdiniz.pdf. Acesso em: 26/05/2021.1. 1995-7645 http://www.repositorio.ufc.br/handle/riufc/58646 |
dc.identifier.dark.fl_str_mv |
ark:/83112/001300000qqt6 |
identifier_str_mv |
DINIZ, Renan G. M. et al. Severe dengue associated with aseptic meningitis, acute kidney injury, and sudden sensorineural hearing loss: a case report. Asian Pacific Journal of Tropical Medicine, v. 14, n. 4, p. 187-190, may, 2021. Disponível em:http://www.repositorio.ufc.br/retrieve/133079/2021_art_rgmdiniz.pdf. Acesso em: 26/05/2021.1. 1995-7645 ark:/83112/001300000qqt6 |
url |
http://www.repositorio.ufc.br/handle/riufc/58646 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Asian Pacific Journal of Tropical Medicine |
publisher.none.fl_str_mv |
Asian Pacific Journal of Tropical Medicine |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da Universidade Federal do Ceará (UFC) instname:Universidade Federal do Ceará (UFC) instacron:UFC |
instname_str |
Universidade Federal do Ceará (UFC) |
instacron_str |
UFC |
institution |
UFC |
reponame_str |
Repositório Institucional da Universidade Federal do Ceará (UFC) |
collection |
Repositório Institucional da Universidade Federal do Ceará (UFC) |
repository.name.fl_str_mv |
Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC) |
repository.mail.fl_str_mv |
bu@ufc.br || repositorio@ufc.br |
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1818373819383939072 |