Post-dengue transverse myelitis: a challenging case of neurological and therapeutic evidence

Post-dengue transverse myelitis may result from parainfectious or post-infectious autoimmune mechanisms, often accompanied by demyelination and spinal cord inflammation. The low rate of DENV IgM in the CSF reinforces the immune-mediated hypothesis. Prognosis varies depending on the early intervention and the extent of spinal injury. Underreporting remains a challenge, and future studies should explore biomarkers and develop standardized management protocols.

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Publication Details

Journal
Oxford Medical Case Reports
Published
2026-01-12
DOI
https://doi.org/10.1093/omcr/omag005
Primary Topic
Mosquito-borne diseases and control
Type
article
Field-Weighted Citation Impact
0.00
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article

Post-dengue transverse myelitis: a challenging case of neurological and therapeutic evidence

Ruy Yoshiaki Okaji, Guilherme Luiz, Elena Campos, Bianca Frigo Pires et al.
Oxford Medical Case Reports
Mosquito-borne diseases and control
article

Post-dengue transverse myelitis: a challenging case of neurological and therapeutic evidence

Ruy Yoshiaki Okaji, Guilherme Luiz, Elena Campos, Bianca Frigo Pires, Raiza Marques Vieira Campos, Caroline Goulart Nunes de Souza, Gustavo Henrique de Moura Vardasca, Talles Camin Rajab, Natalia Seno Croccia, Mariana Ferreira de Albuquerque, Fernanda Goulart Nunes de Souza, Bruno Tolentino Foroni, João Victor Padovani do Carmo, Clara Luisa Negraes Navarrete, Fernanda Ferraioli de Paula
article en

Abstract

Post-dengue transverse myelitis may result from parainfectious or post-infectious autoimmune mechanisms, often accompanied by demyelination and spinal cord inflammation. The low rate of DENV IgM in the CSF reinforces the immune-mediated hypothesis. Prognosis varies depending on the early intervention and the extent of spinal injury. Underreporting remains a challenge, and future studies should explore biomarkers and develop standardized management protocols.

Oxford Medical Case ReportsVol. 2026(2)
Faculdade de Medicina de Marília (BR), Universidade Federal de São Carlos (BR), Universidade Federal do Amapá (BR)
Good health and well-being
Openalex Percentile: Top 48%
Mosquito-borne diseases and control
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