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Acute Compressive Ulnar Neuropathy in a Patient of Dengue Fever: An Unusual Presentation
oleh: Anil K Mehtani, Ashutosh Jha, Himanshu Kataria, Vivek Jangira, Ajay Shukla
Format: | Article |
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Diterbitkan: | Indian Orthopaedic Research Group 2013-04-01 |
Deskripsi
Introduction: Dengue haemorrhagic fever is known for its haemorrhagic and neurologic complications. Neurologic complications are caused by three mechanism namely neurotropism, systemic complications causing encephalopathy and postinfectious immune-mediated mechanisms. However acute compressive neuropathy due to haemorrhage is not frequent and we could find no literature describing this Case Report: We report a case of acute compressive ulnar neuropathy due to peri neural hematoma, following an attempt at intravenous cannulation in the cubital fossa in a patient of dengue haemorrhagic fever with thrombocytopenia. Immediate fasciotomy and removal of haematoma was performed to relieve the symptoms. Conclusion: Compression neuropathies can be seen in dengue hemorrhagic fever and removal of compressing hematoma relieves symptoms. Keywords: Dengue haemmorrhagic fever; coagulopathy; peri neural haematoma.