{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T23:48:06Z","timestamp":1791848886205,"version":"4.3.4"},"reference-count":12,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,1,26]]},"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:p>Dengue is an arboviral infection that classically presents with fever, headache, joint pain, skin flush and morbilliform rashes. Neurological manifestations are well recognised but their exact incidence is unknown. Though myalgias are common in dengue virus infection, myositis and\/or elevated serum creatine kinase is an uncommon complication. Guillain-Barr\u00e9 syndrome is another rare neurological manifestation associated with dengue fever. Here, we report the case of a 21-year-old man with serologically confirmed dengue fever presenting with severe myalgia, bilateral lower and upper limb weakness with raised creatine kinase, MRI suggestive of myositis and myonecrosis and nerve conduction velocity showing bilateral lower limb and axillary sensory motor neuropathy. He was managed conservatively and made an uneventful recovery.<\/jats:p>","DOI":"10.1136\/bcr-2019-232940","type":"journal-article","created":{"date-parts":[[2020,2,11]],"date-time":"2020-02-11T04:15:15Z","timestamp":1581394515000},"page":"e232940","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Concurrent Guillain-Barr\u00e9 syndrome and myositis complicating dengue fever"],"prefix":"10.1136","volume":"13","author":[{"given":"Manisha","family":"Gulia","sequence":"first","affiliation":[{"name":"Department of General Medicine, Government Medical College and Hospital, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Preeti","family":"Dalal","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Government Medical College and Hospital, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3992-1013","authenticated-orcid":false,"given":"Monica","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Government Medical College and Hospital, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daljinderjit","family":"Kaur","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Government Medical College and Hospital, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,2,10]]},"reference":[{"key":"2025082707145812000_13.2.e232940.1","unstructured":"World Health Organization, Regional Office for South-East Asia . Comprehensive guideline for prevention and control of dengue and dengue haemorrhagic fever, 2011. 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