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Jain 2014
Jain 2014
Jain 2014
(2014) 20:103–104
DOI 10.1007/s13365-014-0232-z
CASE REPORT
Received: 19 November 2013 / Accepted: 2 January 2014 / Published online: 24 January 2014
# Journal of NeuroVirology, Inc. 2014
hypokalemia has been reported only recently from India as should be aware of this association, especially in endemic
few case reports (Jha and Ansari 2010). areas like India where atypical manifestations of dengue fever
In our patient, we investigated other possible causes of are now commonly being encountered so that such a condition
LMN quadriparesis including GBS and myositis. Patient’s can be treated promptly.
serum CPK, nerve conduction study, and electromyography
were normal, whereas his serum potassium was low. He Acknowledgments This study was not sponsored by any organization.
responded well and became asymptomatic within 24 h of
starting oral potassium supplementation. Secondary causes Conflict of interest The authors have no conflict of interest.
of hypokalemia like thyrotoxicosis, gastrointestinal loss, and
urinary potassium wasting syndromes were excluded by rele-
vant investigations. References
Hypokalemic paralysis has also been reported in other
infectious diseases like Leptospirosis and Chikungunya Chaudhuri M (2013) What can India do about dengue fever? BMJ 346:
(Gutch et al. 2012). The exact mechanism of hypokalemia in f643. doi:10.1136/bmj.f643
dengue fever is not known. Possible mechanisms suggested Gulati S, Maheshwari A (2007) Atypical manifestations of dengue. Trop
by Jha and Ansari were redistribution of potassium in cells or Med Int Health 12(9):1087–1095. doi:10.1111/j.1365-3156.2007.
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transient renal tubular abnormality leading to increased uri- Gutch M, Agarwal A, Amar A (2012) Hypokalemic quadriparesis: an
nary potassium wasting (Jha and Ansari 2010). However, unusual manifestation of dengue fever. J Nat Sci Biol Med 3(1):81–
urinary potassium level was normal in our patient. 83. doi:10.4103/0976-9668.95976
Thus, it may be postulated that besides GBS and myositis, Jha S, Ansari MK (2010) Dengue infection causing acute hypokalemic
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