Post Dengue Acute Motor Axonal Neuropathy (AMAN): An Unusual Case Report

Authors

  • Md Alamgir Hossain Registrar, Department of Neurology, Sir Salimullah Medical College Mitford Hospital, Dhaka- 1100, Bangladesh
  • Aminur Rahman Professor, Department of Neurology, Sir Salimullah Medical College, Dhaka- 1100, Bangladesh
  • Abul Hasnat Md Russel Registrar, Department of Neurology, Sir Salimullah Medical College Mitford Hospital, Dhaka- 1100, Bangladesh
  • Ajay Kumar Agarwalla Assistant Registrar, Department of Neurology, Sir Salimullah Medical College Mitford Hospital, Dhaka- 1100, Bangladesh
  • Sharif Ahmed Assistant Registrar, Department of Neurology, Sir Salimullah Medical College Mitford Hospital, Dhaka- 1100, Bangladesh
  • Md Saiful Isalm Assistant Registrar, Department of Neurology, Sir Salimullah Medical College Mitford Hospital, Dhaka- 1100, Bangladesh
  • Mahbubul Hakim Mishu Resident, Department of Neurology, Sir Salimullah Medical College Mitford Hospital, Dhaka- 1100, Bangladesh
  • Shahjada Mohammad Dastegir Khan Assistant Professor, Department of Neurology, Sir Salimullah Medical College, Dhaka- 1100, Bangladesh
  • Biplab Paul Assistant Professor, Department of Neurology, Sir Salimullah Medical College, Dhaka- 1100, Bangladesh
  • Pallab Kanti Saha Assistant Professor, Department of Neurology, Sir Salimullah Medical College, Dhaka- 1100, Bangladesh
  • Md Tariqul Islam Assistant Professor, Department of Neurology, Sir Salimullah Medical College, Dhaka- 1100, Bangladesh

DOI:

https://doi.org/10.3329/bjm.v36i2.81143

Keywords:

Dengue virus, Guillain-Barré Syndrome, Acute Motor Axonal Neuropathy, AMAN

Abstract

Dengue virus, an RNA virus linked to a wide range of neurological symptoms, causes less than 5% of patients to experience neuromuscular complications. A less frequent neurological sequelae to dengue fever is Guillain-Barre syndrome (GBS). Six days after recovering from dengue fever, a 25-year-old woman with the illness presented with acute-onset flaccid paraplegia of both lower limbs. Dengue NS1 antigen testing was used to diagnose dengue. In the NCS test, an acute motor axonal neuropathy (AMAN) variant was found. Thrombocytopenia (36,000/cmm), hypoalbuminemia (2.30 g/dL), and a low hemoglobin level (Hb-10.3 gm/dL) were among the laboratory results, which most likely indicated post-dengue symptoms and nutritional inadequacies. The significance of early neurophysiological and CSF tests in detecting GBS variations is highlighted by this instance, which also identifies dengue as an AMAN variant.

Bangladesh J Medicine 2025; 36(2): 149-153  

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Published

2025-05-05

How to Cite

Hossain, M. A., Rahman, A., Russel, A. H. M., Agarwalla, A. K., Ahmed, S., Isalm, M. S., … Islam, M. T. (2025). Post Dengue Acute Motor Axonal Neuropathy (AMAN): An Unusual Case Report. Bangladesh Journal of Medicine, 36(2), 149–153  . https://doi.org/10.3329/bjm.v36i2.81143

Issue

Vol. 36 No. 2 (2025)

Section

Case Reports