Ischemic stroke in dengue: Are we facing an immunomediated response? A case report
Neurological manifestations in dengue infection are atypical; even more so are cases of stroke, which have only been reported rarely. We present the case of a 41-year-old male patient who developed focal neurological deficit during his dengue infection. The patient had no known comorbidities. He pre...
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| Autores principales: | , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2026
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/46236 |
| Aporte de: |
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I10-R327-article-46236 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
dengue vasculitis epidemics ischemic stroke accidente cerebrovascular isquémico vasculitis epidemias dengue AVC Isquêmico dengue vasculite epidemias |
| spellingShingle |
dengue vasculitis epidemics ischemic stroke accidente cerebrovascular isquémico vasculitis epidemias dengue AVC Isquêmico dengue vasculite epidemias Sala, Julieta Valente, Nicolás Pablo Ragaini, Aixa Ferrario, Celina Valente, Nicolás Pablo Ragaini, Aixa Ferrario, Celina Valente, Nicolás Pablo Ragaini, Aixa Ferrario, Celina Ischemic stroke in dengue: Are we facing an immunomediated response? A case report |
| topic_facet |
dengue vasculitis epidemics ischemic stroke accidente cerebrovascular isquémico vasculitis epidemias dengue AVC Isquêmico dengue vasculite epidemias |
| author |
Sala, Julieta Valente, Nicolás Pablo Ragaini, Aixa Ferrario, Celina Valente, Nicolás Pablo Ragaini, Aixa Ferrario, Celina Valente, Nicolás Pablo Ragaini, Aixa Ferrario, Celina |
| author_facet |
Sala, Julieta Valente, Nicolás Pablo Ragaini, Aixa Ferrario, Celina Valente, Nicolás Pablo Ragaini, Aixa Ferrario, Celina Valente, Nicolás Pablo Ragaini, Aixa Ferrario, Celina |
| author_sort |
Sala, Julieta |
| title |
Ischemic stroke in dengue: Are we facing an immunomediated response? A case report |
| title_short |
Ischemic stroke in dengue: Are we facing an immunomediated response? A case report |
| title_full |
Ischemic stroke in dengue: Are we facing an immunomediated response? A case report |
| title_fullStr |
Ischemic stroke in dengue: Are we facing an immunomediated response? A case report |
| title_full_unstemmed |
Ischemic stroke in dengue: Are we facing an immunomediated response? A case report |
| title_sort |
ischemic stroke in dengue: are we facing an immunomediated response? a case report |
| description |
Neurological manifestations in dengue infection are atypical; even more so are cases of stroke, which have only been reported rarely. We present the case of a 41-year-old male patient who developed focal neurological deficit during his dengue infection. The patient had no known comorbidities. He presented with fever, headache, myalgia, and biochemical results showed thrombocytopenia. A plain brain CT scan did not reveal any lesions, leading to the diagnosis of ischemic stroke in the context of dengue infection. He showed improvement in neurological symptoms correlated with increasing platelet counts. Such association has been described in other reports of ischemic stroke due to dengue, possibly explained by immunomediated effects leading to a vasculitic condition. The aim of this work is to contribute to the existing evidence on this entity. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2026 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/46236 |
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2026-03-27T05:14:33Z |
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I10-R327-article-462362026-03-03T21:38:49Z Ischemic stroke in dengue: Are we facing an immunomediated response? A case report Accidente cerebrovascular isquémico (ACV) en dengue ¿estamos ante una respuesta inmunomediada? a propósito de un caso Acidente vascular cerebral isquêmico (AVCI) no dengue: estamos diante de uma resposta imunomediada?. A propósito de um caso Sala, Julieta Valente, Nicolás Pablo Ragaini, Aixa Ferrario, Celina Valente, Nicolás Pablo Ragaini, Aixa Ferrario, Celina Valente, Nicolás Pablo Ragaini, Aixa Ferrario, Celina dengue vasculitis epidemics ischemic stroke accidente cerebrovascular isquémico vasculitis epidemias dengue AVC Isquêmico dengue vasculite epidemias Neurological manifestations in dengue infection are atypical; even more so are cases of stroke, which have only been reported rarely. We present the case of a 41-year-old male patient who developed focal neurological deficit during his dengue infection. The patient had no known comorbidities. He presented with fever, headache, myalgia, and biochemical results showed thrombocytopenia. A plain brain CT scan did not reveal any lesions, leading to the diagnosis of ischemic stroke in the context of dengue infection. He showed improvement in neurological symptoms correlated with increasing platelet counts. Such association has been described in other reports of ischemic stroke due to dengue, possibly explained by immunomediated effects leading to a vasculitic condition. The aim of this work is to contribute to the existing evidence on this entity. Las manifestaciones neurológicas en la infección por dengue son atípicas; más aún lo son los cuadros de accidente cerebrovascular, para los cuales existen sólo unos pocos reportes. Presentamos el caso de un paciente masculino de 41 años que desarrolló un cuadro de déficit neurológico focal durante su infección por dengue. El paciente no tenía comorbilidades conocidas. Presentó fiebre, cefalea, mialgias y en los resultados bioquímicos, plaquetopenia. En la tomografía de encéfalo simple no se observaron lesiones, por lo que se interpretó el cuadro como accidente cerebrovascular (ACV) isquémico en contexto de infección por dengue. Evolucionó con mejoría de la clínica neurológica en correlación con el aumento de valores de plaquetas. Dicha asociación está descripta en otros reportes de ACV isquémico por dengue, posiblemente explicada por efectos inmunomediados que generen un cuadro vasculítico. El objetivo de este trabajo es aumentar la evidencia disponible sobre esta entidad. As manifestações neurológicas na infecção por dengue são atípicas; ainda mais raras são as ocorrências de acidente vascular cerebral, para as quais há apenas alguns poucos relatos. Apresentamos o caso de um paciente masculino de 41 anos que desenvolveu um déficit neurológico focal durante sua infecção por dengue. O paciente não tinha comorbidades conhecidas. Ele apresentou febre, dor de cabeça, mialgia e, nos resultados bioquímicos, plaquetopenia. A tomografia simples de crânio não mostrou lesões, sendo interpretado o quadro como um acidente vascular cerebral isquêmico no contexto da infecção por dengue. Houve melhora dos sintomas neurológicos correlacionada com o aumento dos valores de plaquetas. Essa associação está descrita em outros relatos de acidente vascular cerebral isquêmico por dengue, possivelmente explicada por efeitos imunomediados que levam a uma condição vasculítica. O objetivo deste trabalho é aumentar a evidência disponível sobre esta entidade. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2026-03-03 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/46236 10.31053/1853.0605.v83.n1.46236 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 83 No. 1 (2026): Avance de publicación; e46236 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 83 Núm. 1 (2026): Avance de publicación; e46236 Revista da Faculdade de Ciências Médicas de Córdoba; v. 83 n. 1 (2026): Avance de publicación; e46236 1853-0605 0014-6722 10.31053/1853.0605.v83.n1 spa https://revistas.unc.edu.ar/index.php/med/article/view/46236/52346 https://revistas.unc.edu.ar/index.php/med/article/view/46236/52393 Derechos de autor 2026 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |