Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
    Users Online: 289
Home Print this page Email this page Small font size Default font size Increase font size
Year : 2012  |  Volume : 1  |  Issue : 3  |  Page : 162-165

Atypical dengue meningitis in Makkah, Saudi Arabia

Department of Neurology, Alnoor Specialist Hospital, King Abdullah Medical City, Holy Makkah, Saudi Arabia

Correspondence Address:
Mamdouh H Kalakatawi
Department of Neurology, Alnoor Specialist Hospital, King Abdullah Medical City, PO Box 6081, zip code 21955, Holy Makkah
Saudi Arabia
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2278-0521.106088

Rights and Permissions

Although dengue meningitis is a rare presentation of dengue infection, our aim is to focus on atypical presentation of dengue meningitis that may appear in dengue endemic area like the Makkah region. We report two cases of clinical meningitis with positive dengue virus (DENV) IgM in cerebrospinal fluid, followed for minimal 3 months for their prominent attacks of migraine like headache, phobia, and arrhythmia. With special consideration to attacks time, type, severity, and respond to classical therapy, using regular ECG monitoring, visual analogue pain score, and neuropsychological assessments were done. Both cases showed resistant migraine like headaches to classic anti-migraine therapy except for strong NSAID and narcotics with tendency to have severe to extreme severe daily migraine like headache on early to late afternoon time, associated with non-fatal arrhythmias and extreme death phobia, that resolve slowly in a minimal 3 months period. In conclusion, dengue meningitis in the endemic area may present atypically.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded271    
    Comments [Add]    

Recommend this journal