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|Year : 2014 | Volume
| Issue : 4 | Page : 420
Quadriparesis and hypokalemia in dengue
A Ray, R Sharma, A Khanna
Department of Pulmonary Critical Care and Sleep Medicine, Vardhman Mahavir Medical College (VMMC) and Safdarjang Hospital, New Delhi, India
|Date of Web Publication||5-Nov-2014|
Dr. A Ray
Department of Pulmonary Critical Care and Sleep Medicine, Vardhman Mahavir Medical College (VMMC) and Safdarjang Hospital, New Delhi
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Ray A, Sharma R, Khanna A. Quadriparesis and hypokalemia in dengue. J Postgrad Med 2014;60:420
We read with interest the article "Dengue infection presenting as acute hypokalemic quadriparesis" by Gupta et al. 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,  acute transverse myelitis  and compressive myelopathy,  acute inflammatory demyelinating polyneuropathy,  acute motor sensory axonal neuropathy,  acute motor axonal neuropathy,  hypokalemic paralysis, , neuralgic amyotrophy  and myostis.  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  and hyperreninemia due to hypovolemia. 
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