Journal of Postgraduate Medicine
 Open access journal indexed with Index Medicus & ISI's SCI  
Users online: 13679  
Home | Subscribe | Feedback | Login 
About Latest Articles Back-Issues Articlesmenu-bullet Search Instructions Online Submission Subscribe Etcetera Contact
 ::  Similar in PUBMED
 ::  Search Pubmed for
 ::  Search in Google Scholar for
 ::  Article in PDF (196 KB)
 ::  Citation Manager
 ::  Access Statistics
 ::  Reader Comments
 ::  Email Alert *
 ::  Add to My List *
* Registration required (free) 

  IN THIS Article
 ::  References

 Article Access Statistics
    PDF Downloaded20    
    Comments [Add]    

Recommend this journal


  Table of Contents     
Year : 2014  |  Volume : 60  |  Issue : 4  |  Page : 420

Quadriparesis and hypokalemia in dengue

Department of Pulmonary Critical Care and Sleep Medicine, Vardhman Mahavir Medical College (VMMC) and Safdarjang Hospital, New Delhi, India

Date of Web Publication5-Nov-2014

Correspondence Address:
Dr. A Ray
Department of Pulmonary Critical Care and Sleep Medicine, Vardhman Mahavir Medical College (VMMC) and Safdarjang Hospital, New Delhi
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0022-3859.143998

Rights and Permissions

How to cite this article:
Ray A, Sharma R, Khanna A. Quadriparesis and hypokalemia in dengue. J Postgrad Med 2014;60:420

How to cite this URL:
Ray A, Sharma R, Khanna A. Quadriparesis and hypokalemia in dengue. J Postgrad Med [serial online] 2014 [cited 2023 Sep 30];60:420. Available from:


We read with interest the article "Dengue infection presenting as acute hypokalemic quadriparesis" by Gupta et al.[1] and would like to make the following observations. As mentioned by the authors quadriparesis can occur rarely in dengue patients and the reported causes include acute disseminated encephalomyelitis, [2] acute transverse myelitis [3] and compressive myelopathy, [4] acute inflammatory demyelinating polyneuropathy, [5] acute motor sensory axonal neuropathy, [6] acute motor axonal neuropathy, [7] hypokalemic paralysis, [8],[9] neuralgic amyotrophy [10] and myostis. [11] The genesis of hypokalemia could also result from a host of causes that include redistribution of potassium into cells either due to increased catecholamine release and/or due to secondary insulin resistance, transient renal tubular abnormalities leading to increased urinary potassium wasting, increased potassium consumption due to rapid cell growth, potassium loss due to vomiting and diarrhea [11] and hyperreninemia due to hypovolemia. [12]

 :: References Top

Gupta N, Garg A, Chhabra P. Dengue infection presenting as acute hypokalemic quadriparesis. J Postgrad Med 2014;60:327-8.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
Koshy JM, Joseph DM, John M, Mani A, Malhotra N, Abraham GM, et al. Spectrum of neurological manifestations in dengue virus infection in Northwest India. Trop Doct 2012;42:191-4.  Back to cited text no. 2
Hendarto SK, Hadinegoro SR. Dengue encephalopathy. Acta Paediatr Jpn 1992;34:350-7.  Back to cited text no. 3
Gupta M, Nayak R, Khwaja GA, Chowdhury D. Acute disseminated encephalomyelitis associated with dengue infection: A case report with literature review. J Neurol Sci 2013;335:216-8.  Back to cited text no. 4
Chanthamat N, Sathirapanya P. Acute transverse myelitis associated with dengue viral infection. J Spinal Cord Med 2010;33:425-7.  Back to cited text no. 5
Verma SP, Himanshu D, Tripathi AK, Vaish AK, Jain N. An atypical case of dengue haemorrhagic fever presenting as quadriparesis due to compressive myelopathy. BMJ Case Rep 2011;2011.pii:bcr1020103421.  Back to cited text no. 6
Gonçalves E. Acute inflammatory demyelinating polyradiculoneuropathy (Guillain-Barré syndrome) following dengue fever. Rev Inst Med Trop Sao Paulo 2011;53:223-5.  Back to cited text no. 7
Sharma CM, Kumawat BL, Ralot T, Tripathi G, Dixit S. Guillain-Barre syndrome occurring during dengue fever. J Indian Med Assoc 2011;109:675, 682.  Back to cited text no. 8
Mittal M, Jain N. Subdural haematoma and axonal polyneuropathy complicating dengue fever. BMJ Case Rep 2011;2011.pii:bcr1220103672.  Back to cited text no. 9
Gupta DK, Vaish AK, Arya RK, Chaudhary SC. Hypokalaemic quadriparesis: An unusual manifestation of dengue fever. BMJ Case Rep 2011;2011.pii:bcr1220103673.  Back to cited text no. 10
Roy A, Tripathi AK, Verma SP, Reddy H, Jain N. Acute hypokalaemic quadriparesis indengue fever. BMJ Case Rep 2011;2011.pii:bcr1120103514.  Back to cited text no. 11
Verma R, Sharma P, Khurana N, Sharma LN. Neuralgic amyotrophy associated with dengue fever: Case series of three patients. J Postgrad Med 2011;57:329-31  Back to cited text no. 12


Print this article  Email this article
Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow