Dengue Encephalitis Sir, Dengue fever has variable clinical spectrum ranging from asymptomatic infection to life-threatening dengue haemorrhagic fever and dengue shock syndrome. Fever, arthralgia, headache, petechial spots, rash and haemorrhagic manifestations

Dengue fever has variable clinical spectrum ranging from asymptomatic infection to life-threatening dengue haemorrhagic fever and dengue shock syndrome. Fever, arthralgia, headache, petechial spots, rash and haemorrhagic manifestations are common features. However, neurologic complications in general are unusual. In this documentation we present a case of dengue encephalitis, which is an uncommon manifestation of dengue fever. A previously healthy 30-year-old man presented with fever for six days with headache, vomiting and altered sensorium for one day. Fever was not associated with chills and rigor. Fever was of continuous type and it was associated with mild dry cough. There was no history of seizure, rash and bleeding episodes. He was a non-smoker and drank very little alcohol. The clinical examination on admission revealed pulse 66/min, BP 130/90 mm Hg, temperature 101°F. Respiration was normal. No skin rash or petechiae were noted. There was mild pallor and icterus was absent. Lymph nodes were normal. Rest of the general physical examination was unremarkable.