Affiliations: Department of Pediatrics, BC Roy Post Graduate
Institute of Pediatric Sciences, Kolkata, India | Department of Pediatrics, Apollo Gleangles Hospital, Kolkata, India | Department of Pediatrics, Calcutta Medical College,
Kolkata, India | Department of Pediatrics, Behrampore Medical College,
Behrampore, India
Note: [] Correspondence: Suman Das, 44 Talpukur Road, Deulpara, North 24
Parganas, India. Tel.: +91 9836721415; E-mail: dr.sumands@ gmail.com
Abstract: A 10-year-old-boy was admitted with high grade continuous fever,
rash, arthralgia and myalgia. From the 4th day of fever, his myalgia increased
in intensity and he developed flaccid quadriparesis on the 5th day.
Subsequently he was diagnosed to have dengue infection and myositis. He also
developed right sided Bell's palsy 4 days after he became afebrile. He was
treated with intravenous methyl prednisolone for 3 days followed by oral
prednisolone for 1 week with resultant dramatic resolution of myalgia and
weakness. Physiotherapy was advised for Bell's palsy. At follow up 2 months
later, the child had regained grade 5/5 power in all four limbs, but the
weakness of the facial muscles persisted.
