Table 1 Demographic details of our patients
Case 1 | Case 2 | Case 3 | Case 4 | |
|---|---|---|---|---|
Gender/age | M/36 | M/21 | M/69 | M/45 |
Comorbid conditions | None | None | None | Diabetes Mellitus |
Symptoms | Fever—12 days ago Bilateral lower limb weakness—5 days | Fever and body aches- 10 days Bilateral lower limb weakness—5 days | Fever—12 days Bilateral limb weakness- 3 days | Fever—1 month ago Ascending weakness—20 days |
CNS Motor examination | Powers: 3/5 lower limbs 5/5 upper limbs Areflexia | Powers: 3/5 lower limbs 4/5 upper limbs Reflexes: + 1 | Powers: 1/5 lower limbs 2/5 upper limbs Areflexia | Powers: 2/5 lower limbs 3/5 upper limbs Areflexia |
Evidence of dengue | NS1 antigen positive | Dengue IgM positive | Dengue NS1 antigen positive | Dengue IgM positive |
Platelets on admission (*10E9/L) (Normal Range: 154–433) | 224 | 151 | 306 | 160 |
CPK Levels (U/L) | 62 | Not done | Not done | Not done |
EMG/NCS findings | Non-irritable myopathy affecting upper and lower extremities AIDP | AMAN | AMSAN | AMSAN |
Treatment received | Left the hospital against medical advice Received plasmapheresis 5 sessions at another hospital | 5 sessions of plasmapheresis | 5 sessions of plasmapheresis | Expired. Five doses of IVIG |
Outcome at 3 months discharge | Improved. Now able to walk independently | Improved. Able to walk independently | Improved. Now able to walk with one person support | No improvement. Passed away secondary to cardiac arrest and underlying sepsis |