Dengue fever presenting as quadriparesis due to hypokalaemia: A rare presentation

Syed Muhammad Zubair, Syed Ahsan Ali, Saira Furqan

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Dengue is one of the leading causes of arthropod borne viral haemorrhagic fever. Majority of the times, it clinically manifests as fever, arthralgia and rash; however, we present a case of a young man who presented with progressively increasing weakness of all four limbs. Initial investigations showed low potassium, hence he was managed as hypokalaemic periodic paralysis. With initial history of fever and low platelets, dengue was suspected. Dengue antibody was checked which came out to be positive. Potassium was replaced which led to improvement in power of his limbs. He was discharged in a stable condition with a diagnosis of dengue with hypokalaemic quadriparesis.

Original languageEnglish
Article number227981
JournalBMJ Case Reports
Issue number3
Publication statusPublished - 2019


  • Fluid electrolyte and acid-base disturbances
  • Tropical medicine (infectious disease)


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