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Journal of Case Reports
Dengue or Japanese encephalitis?
Dr. Pallavi Sehgal
Email: pallavisehgal15@gmail.com
Corresponding Author:
Pallavi Sehgal1, Wasil Rasool Sheikh2, Dheeraj Nair1, Ankur Verma2, Sanjay Jaiswal2
1Department of Emergency Medicine, Max Super Superspeciality Hospital, Vaishali, UP, India; 2Department of Emergency Medicine, Max Super Speciality Hospital, Patparganj, New Delhi-110092, India.
Received: 15-MAY-2017 Accepted: 22-AUG-2017 Published Online: 30-AUG-2017
DOI: http://dx.doi.org/10.17659/01.2017.0080
Abstract
Background: Dengue and Japanese encephalitis are considered as one of the most common arbovirus diseases in tropics. Dengue virus has a wide spectrum of presentation starting from the classical dengue fever to dengue encephalitis and dengue shock syndrome. Moreover, Japanese encephalitis, which is one of the major public health problems in most of the South East Asian countries including India, may present with similar clinical picture mimicking dengue encephalitis. Case Report: We report the case of a 34 year old male patient who presented to the emergency department with complaints of fever and subsequently developed altered mental status. Investigations of the patient revealed dengue NS1 antigen positive but Magnetic Resonance Imaging findings were suggestive of Japanese encephalitis. Conclusion: Here, we discuss the likelihood of Dengue-Japanese encephalitis co-infection in endemic countries where both dengue and Japanese encephalitis are common. 
Keywords : Arboviruses, Dengue Virus, Fever, India, Japanese Encephalitis.
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