{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T00:01:34Z","timestamp":1780704094438,"version":"3.54.1"},"reference-count":16,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,9,23]]},"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:p>Dengue is an arbovirus infection that usually presents with the symptoms of high-grade fever, myalgia and rash. Dengue is spread by the <jats:italic>Aedes aegypti<\/jats:italic> mosquito and frequent outbreaks are being reported in regions like Pakistan, India and Sri Lanka. Although muscle ache is quite common with dengue fever, overt myositis is of very rare occurrence. Here, we report a case of a young girl who presented to us with serologically confirmed dengue infection, and having bilateral upper and lower limb weakness. Her raised creatine kinase, along with her electromyography pattern was suggestive of myositis. Her condition was steroid-resistant and responded only to intravenous immunoglobulin. She was discharged in a stable condition.<\/jats:p>","DOI":"10.1136\/bcr-2022-250963","type":"journal-article","created":{"date-parts":[[2022,10,10]],"date-time":"2022-10-10T12:05:56Z","timestamp":1665403556000},"page":"e250963","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Case of steroid refractory dengue myositis responsive to intravenous immunoglobulins"],"prefix":"10.1136","volume":"15","author":[{"given":"Zaraq","family":"Rashid","sequence":"first","affiliation":[{"name":"Internal Medicine, Hayatabad Medical Complex, Peshawar, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taimoor","family":"Hussain","sequence":"additional","affiliation":[{"name":"Neuroimmunology Division, Yale School of Medicine, New Haven, Connecticut, USA"},{"name":"Neurology, Bolan Medical Complex Hospital, Quetta, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syed Nauman","family":"Abdullah","sequence":"additional","affiliation":[{"name":"Internal Medicine, Hayatabad Medical Complex, Peshawar, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasvindar","family":"Kumar","sequence":"additional","affiliation":[{"name":"Medicine, Khyber Medical College, Peshawar, Khyber Pakhtunkhwa, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,10,10]]},"reference":[{"key":"2025082712060593000_15.10.e250963.1","doi-asserted-by":"publisher","DOI":"10.4103\/0028-3886.161990"},{"key":"2025082712060593000_15.10.e250963.2","doi-asserted-by":"crossref","DOI":"10.3390\/v12060616","article-title":"Arboviruses and muscle disorders: from disease to cell biology","volume":"12","author":"Filippone","year":"2020","journal-title":"Viruses"},{"key":"2025082712060593000_15.10.e250963.3","doi-asserted-by":"crossref","unstructured":"Gulati K , Pasi R , Gupta A , et al . Dengue fever presenting with severe myositis-An unusual presentation. J Family Med Prim Care. 2020;9(12.","DOI":"10.4103\/jfmpc.jfmpc_1680_20"},{"key":"2025082712060593000_15.10.e250963.4","unstructured":"World Health Organization. (2022, January 10). \"Dengue and severe dengue\". Retrieved from. Available: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/dengue-and-severe-dengue"},{"key":"2025082712060593000_15.10.e250963.5","first-page":"12","article-title":"[Hematological aspects of dengue fever]","volume":"5","author":"Lin","year":"1989","journal-title":"Gaoxiong Yi Xue Ke Xue Za Zhi"},{"key":"2025082712060593000_15.10.e250963.6","doi-asserted-by":"publisher","DOI":"10.4103\/0972-2327.70882"},{"key":"2025082712060593000_15.10.e250963.7","first-page":"127","article-title":"A case presentation of a fatal dengue myocarditis showing evidence for dengue virus-induced lesion","volume":"2","author":"Miranda","year":"2013","journal-title":"Eur Heart J"},{"key":"2025082712060593000_15.10.e250963.8","doi-asserted-by":"publisher","DOI":"10.4103\/0972-5229.84896"},{"key":"2025082712060593000_15.10.e250963.9","doi-asserted-by":"crossref","unstructured":"Gulia M , Dalal P , Gupta M , et al . Concurrent Guillain-Barr\u00e9 syndrome and myositis complicating dengue fever. 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Cochrane Database Syst Rev 2014;85.doi:10.1002\/14651858.CD003488.pub3","DOI":"10.1002\/14651858.CD003488.pub3"},{"key":"2025082712060593000_15.10.e250963.15","doi-asserted-by":"crossref","first-page":"e00816","DOI":"10.1016\/j.heliyon.2018.e00816","article-title":"Effectiveness of corticosteroid in the treatment of dengue - A systemic review","volume":"4","author":"Bandara","year":"2018","journal-title":"Heliyon"},{"key":"2025082712060593000_15.10.e250963.16","doi-asserted-by":"publisher","DOI":"10.1093\/ckj\/sft119"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-250963","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:06:13Z","timestamp":1756321573000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-250963"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10]]},"references-count":16,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2022,10,10]]},"published-print":{"date-parts":[[2022,10]]}},"alternative-id":["10.1136\/bcr-2022-250963"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-250963","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10]]}}}