Longitudinally Extensive Transverse Myelitis (Letm) In a Patient with Post Dengue Fever Spondylodiscitis & Epidural Abscess
Suresh S Pillai
A change in manifestation is observed over years with dengue viral infections. There is neural predilection for dengue virus and documented evidence is available for immunosuppression due to dengue virus infection in mice. Here we report a case of post dengue fever longitudinally extending transverse myelitis (LETM) associated with spondylodiscitis and epidural abscess due to MRSA in a 71 year old male. This is the 13th case with LETM following dengue virus infection and first case of LETM associated with post dengue fever, spondylodiscitis and epidural abscess . The patient developed LETM epidural abscess and spondylodiscitis 4 weeks after he was diagnosed to have dengue fever with NS1 antigen positivity.