Acute Transverse Myelitis: A Rare Presentation of Dengue Fever.

Spinal cord involvement in the form of acute transverse myelitis is an uncommon manifestation of dengue virus infection. Only few cases have been reported so far in the literature. Here we are reporting a 32 year old man who developed features of acute transverse myelitis six days after the onset of dengue fever. His magnetic resonance imaging of spinal cord showed segmental T2 hyper intensity from D4 to D6 levels involving predominantly the central component. He was treated with intravenous methyl prednisolone, Intravenous Immunoglobulin (IV IG) and physiotherapy. He improved substantially after four months & after seven months he recovered completely. He is able to walk normally & do his activities of daily living independently. Though neurological manifestations are reported in dengue fever, involvement of spinal cord in the form of transverse myelitis is extremely rare. Isolated reports are the tip of the iceberg. Its incidence may rise in the near future demanding increased awareness among health care providers