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J Pediatr Infect Dis 2014; 09(01): 027-030
DOI: 10.3233/JPI-140412
Case Report
Georg Thieme Verlag KG Stuttgart – New York

Flaccid quadriparesis due to severe myositis and Bell's palsy in pediatric dengue infection

Suman Das
a   Department of Pediatrics, BC Roy Post Graduate Institute of Pediatric Sciences, Kolkata, India
,
Nirmalya Sarkar
b   Department of Pediatrics, Apollo Gleangles Hospital, Kolkata, India
,
Kaushani Chatterjee
c   Department of Pediatrics, Calcutta Medical College, Kolkata, India
,
Bholanath Aich
d   Department of Pediatrics, Behrampore Medical College, Behrampore, India
› Author Affiliations
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Publication History

15 June 2013

04 November 2013

Publication Date:
28 July 2015 (online)

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Abstract

A 10-year-old-boy was admitted with high grade continuous fever, rash, arthralgia and myalgia. From the 4th day of fever, his myalgia increased in intensity and he developed flaccid quadriparesis on the 5th day. Subsequently he was diagnosed to have dengue infection and myositis. He also developed right sided Bell's palsy 4 days after he became afebrile. He was treated with intravenous methyl prednisolone for 3 days followed by oral prednisolone for 1 week with resultant dramatic resolution of myalgia and weakness. Physiotherapy was advised for Bell's palsy. At follow up 2 months later, the child had regained grade 5/5 power in all four limbs, but the weakness of the facial muscles persisted.

Keywords

Dengue - flaccid quadriparesis - myositis - Bell's palsy - methyl prednisolone