Hypocalcemic Tetany Unmasked by Dengue Fever in Primary Hypoparathyroidism

Volume: 39 Issue: 1

Open Access
Case Report

Hypocalcemic Tetany Unmasked by Dengue Fever in Primary Hypoparathyroidism

Bimal K Agrawal¹, Barinder Kaur¹, Gaurav Aggarwal¹, Manu Mathew¹ and Usha Agrawal²

¹Department of Medicine, MM Institute of Medical Sciences of Research, MM Deemed University, Mullana,
²ICMR-National Institute of Pathology, New Delhi, India

Corresponding Author: Bimal K Agrawal. E-mail: [email protected]

Year: 2019, Page: 198-200,

Abstract

A rare endocrine disorder hypoparathyroidism is characterized by low blood serum calcium levels and
parathyroid hormone levels. We report a 28 years old male who presented with fever of 3 days duration with the
inward turning of both hands on the third day of febrile illness with low calcium level and thrombocytopenia.
Subsequently, he was diagnosed to be a case of dengue fever (DF). Non-contrast head CT of the brain
revealed calcifications in bilateral thalamus, bilateral basal ganglion, subcortical white matter, and bilateral
dendritic cerebellar nuclei. A case of hypoparathyroidism which was previously undiagnosed presented with
hypocalcemia tetany with acute dengue illness for the first time. Though hypocalcemia can occur in dengue
fever symptomatic hypocalcemia is not common.

Keywords: Dengue Fever, Hypocalcemia, Tetany, Primary hypoparathyroidism

Cite this article

Bimal K Agrawal, Barinder Kaur, Gaurav Aggarwal, Manu Mathew and Usha Agrawal. Hypocalcemic Tetany Unmasked by Dengue Fever in Primary Hypoparathyroidism. Biomedicine: 2019; 39(1): 198-200

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