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|Year : 2014 | Volume
| Issue : 4 | Page : 420
Quadriparesis and hypokalemia in dengue
A Ray, R Sharma, A Khanna
Department of Pulmonary Critical Care and Sleep Medicine, Vardhman Mahavir Medical College (VMMC) and Safdarjang Hospital, New Delhi, India
|Date of Web Publication||5-Nov-2014|
Dr. A Ray
Department of Pulmonary Critical Care and Sleep Medicine, Vardhman Mahavir Medical College (VMMC) and Safdarjang Hospital, New Delhi
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Ray A, Sharma R, Khanna A. Quadriparesis and hypokalemia in dengue. J Postgrad Med 2014;60:420
We read with interest the article "Dengue infection presenting as acute hypokalemic quadriparesis" by Gupta et al. and would like to make the following observations. As mentioned by the authors quadriparesis can occur rarely in dengue patients and the reported causes include acute disseminated encephalomyelitis,  acute transverse myelitis  and compressive myelopathy,  acute inflammatory demyelinating polyneuropathy,  acute motor sensory axonal neuropathy,  acute motor axonal neuropathy,  hypokalemic paralysis, , neuralgic amyotrophy  and myostis.  The genesis of hypokalemia could also result from a host of causes that include redistribution of potassium into cells either due to increased catecholamine release and/or due to secondary insulin resistance, transient renal tubular abnormalities leading to increased urinary potassium wasting, increased potassium consumption due to rapid cell growth, potassium loss due to vomiting and diarrhea  and hyperreninemia due to hypovolemia. 
| :: References|| |
Gupta N, Garg A, Chhabra P. Dengue infection presenting as acute hypokalemic quadriparesis. J Postgrad Med 2014;60:327-8.
Koshy JM, Joseph DM, John M, Mani A, Malhotra N, Abraham GM, et al.
Spectrum of neurological manifestations in dengue virus infection in Northwest India. Trop Doct 2012;42:191-4.
Hendarto SK, Hadinegoro SR. Dengue encephalopathy. Acta Paediatr Jpn 1992;34:350-7.
Gupta M, Nayak R, Khwaja GA, Chowdhury D. Acute disseminated encephalomyelitis associated with dengue infection: A case report with literature review. J Neurol Sci 2013;335:216-8.
Chanthamat N, Sathirapanya P. Acute transverse myelitis associated with dengue viral infection. J Spinal Cord Med 2010;33:425-7.
Verma SP, Himanshu D, Tripathi AK, Vaish AK, Jain N. An atypical case of dengue haemorrhagic fever presenting as quadriparesis due to compressive myelopathy. BMJ Case Rep 2011;2011.pii:bcr1020103421.
Gonçalves E. Acute inflammatory demyelinating polyradiculoneuropathy (Guillain-Barré syndrome) following dengue fever. Rev Inst Med Trop Sao Paulo 2011;53:223-5.
Sharma CM, Kumawat BL, Ralot T, Tripathi G, Dixit S. Guillain-Barre syndrome occurring during dengue fever. J Indian Med Assoc 2011;109:675, 682.
Mittal M, Jain N. Subdural haematoma and axonal polyneuropathy complicating dengue fever. BMJ Case Rep 2011;2011.pii:bcr1220103672.
Gupta DK, Vaish AK, Arya RK, Chaudhary SC. Hypokalaemic quadriparesis: An unusual manifestation of dengue fever. BMJ Case Rep 2011;2011.pii:bcr1220103673.
Roy A, Tripathi AK, Verma SP, Reddy H, Jain N. Acute hypokalaemic quadriparesis indengue fever. BMJ Case Rep 2011;2011.pii:bcr1120103514.
Verma R, Sharma P, Khurana N, Sharma LN. Neuralgic amyotrophy associated with dengue fever: Case series of three patients. J Postgrad Med 2011;57:329-31