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
