{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:10:02Z","timestamp":1756275002135,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,3,5]]},"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:p>Dengue is one of the leading causes of arthropod borne viral haemorrhagic fever. Majority of the times, it clinically manifests as fever, arthralgia and rash; however, we present a case of a young man who presented with progressively increasing weakness of all four limbs. Initial investigations showed low potassium, hence he was managed as hypokalaemic periodic paralysis. With initial history of fever and low platelets, dengue was suspected. Dengue antibody was checked which came out to be positive. Potassium was replaced which led to improvement in power of his limbs. He was discharged in a stable condition with a diagnosis of dengue with hypokalaemic quadriparesis.<\/jats:p>","DOI":"10.1136\/bcr-2018-227981","type":"journal-article","created":{"date-parts":[[2019,3,23]],"date-time":"2019-03-23T12:35:15Z","timestamp":1553344515000},"page":"e227981","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Dengue fever presenting as quadriparesis due to hypokalaemia: a rare presentation"],"prefix":"10.1136","volume":"12","author":[{"given":"Syed Muhammad","family":"Zubair","sequence":"first","affiliation":[{"name":"Medicine, Aga Khan University, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2274-2200","authenticated-orcid":false,"given":"Syed Ahsan","family":"Ali","sequence":"additional","affiliation":[{"name":"Medicine, Aga Khan University, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saira","family":"Furqan","sequence":"additional","affiliation":[{"name":"Medicine, Aga Khan University, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,3,23]]},"reference":[{"key":"2025082622500284000_12.3.e227981.1","unstructured":"Dengue Control [Internet]. 2018 [cited 22 Aug 2018. http:\/\/www.who.int\/denguecontrol\/human\/en\/"},{"key":"2025082622500284000_12.3.e227981.2","doi-asserted-by":"crossref","first-page":"449","DOI":"10.3389\/fcimb.2017.00449","article-title":"Neurological Manifestations of Dengue Infection","volume":"7","author":"Li","year":"2017","journal-title":"Front Cell Infect Microbiol"},{"key":"2025082622500284000_12.3.e227981.3","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(13)70150-9"},{"key":"2025082622500284000_12.3.e227981.4","doi-asserted-by":"crossref","first-page":"1567","DOI":"10.1007\/s00705-014-2010-x","article-title":"Unusual and rare manifestations of dengue during a dengue outbreak in a tertiary care hospital in South India","volume":"159","author":"Neeraja","year":"2014","journal-title":"Arch Virol"},{"key":"2025082622500284000_12.3.e227981.5","first-page":"357","article-title":"Acute pure motor quadriplegia: is it dengue myositis?","volume":"45","author":"Kalita","year":"2005","journal-title":"Electromyogr Clin Neurophysiol"},{"key":"2025082622500284000_12.3.e227981.6","doi-asserted-by":"publisher","DOI":"10.1590\/S0004-282X2004000100025"},{"key":"2025082622500284000_12.3.e227981.7","doi-asserted-by":"publisher","DOI":"10.4103\/0028-3886.68657"},{"key":"2025082622500284000_12.3.e227981.8","doi-asserted-by":"crossref","first-page":"81","DOI":"10.4103\/0976-9668.95976","article-title":"Hypokalemic quadriparesis: An unusual manifestation of dengue fever","volume":"3","author":"Gutch","year":"2012","journal-title":"J Nat Sci Biol Med"},{"key":"2025082622500284000_12.3.e227981.9","doi-asserted-by":"publisher","DOI":"10.1136\/bcr.11.2010.3514"},{"key":"2025082622500284000_12.3.e227981.10","first-page":"123","article-title":"[Clinical characteristics of the patients with dengue fever seen from 2002 to 2006 in Guangzhou]","volume":"21","author":"Ying","year":"2007","journal-title":"Zhonghua Shi Yan He Lin Chuang Bing Du Xue Za Zhi"},{"key":"2025082622500284000_12.3.e227981.11","doi-asserted-by":"crossref","first-page":"76","DOI":"10.4103\/1119-0388.172058","article-title":"Dengue fever presenting as hypokalemic muscle weakness","volume":"19","author":"Tomar","year":"2016","journal-title":"Tropical Journal of Medical Research"},{"key":"2025082622500284000_12.3.e227981.12","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1186\/1471-2334-12-240","article-title":"Expanded dengue syndrome: subacute thyroiditis and intracerebral hemorrhage","volume":"12","author":"Assir","year":"2012","journal-title":"BMC Infect Dis"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-227981","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T05:50:11Z","timestamp":1756273811000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-227981"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3]]},"references-count":12,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,3,23]]},"published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1136\/bcr-2018-227981"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-227981","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,3]]}}}