Cerebellar Hemorrhage in a Patient during the Convalescent Phase of Dengue Fever

Dengue fever is the most common arboviral infection, ac-counting for an estimated 100 million cases per year worldwide and representing the most important arthropod-borne viral dis-ease in terms of morbidity and mortality.1 This disease is princi-pally transmitted by Aedes aegypti and Aedes albopictus mosqui-toes and mainly affects populations from the tropical and sub-tropical regions.2 Clinical presentations of classic dengue fever include acute fever, headache, retroocular pain, skin rash, and muscular and osteoarticular pain.3 A more aggressive presenta-tion of the illness, known as dengue hemorrhagic fever is noted in 40%-70 % of dengue fever cases.4 Dengue hemorrhagic fever is characterized by hemorrhagic events and high fever, as well as hepatomegaly and hemodynamic alterations. Dengue shock syndrome—another clinical form of the disease—is defined as hypovolemia secondary to capillary plasma leakage with hemo-

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• Neurological Manifestations of Dengue Infection · 2017

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