LETTER TO THE EDITOR
Year : 2017  |  Volume : 12  |  Issue : 3  |  Page : 302-303

Parainfectious ocular flutter and truncal ataxia and dengue

Viroj Wiwanitkit
Department of Tropical Medicine, Hainan Medical University, Hainan Sheng, China

Date of Web Publication

14-Nov-2017

Correspondence Address:
Viroj Wiwanitkit
Department of Tropical Medicine, Hainan Medical University, Hainan Sheng
China

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/jpn.JPN_75_17

How to cite this article: Wiwanitkit V. Parainfectious ocular flutter and truncal ataxia and dengue. J Pediatr Neurosci 2017;12:302-3

How to cite this URL: Wiwanitkit V. Parainfectious ocular flutter and truncal ataxia and dengue. J Pediatr Neurosci [serial online] 2017 [cited 2023 Mar 22];12:302-3. Available from: https://www.pediatricneurosciences.com/text.asp?2017/12/3/302/218245

Dear Sir,

The publication on “Parainfectious Ocular Flutter and Truncal Ataxia and Dengue” is very interesting.^[1] Mahale et al. concluded that “There are reported cases of opsoclonus myoclonus ataxia in association with dengue virus infection. However, there are no reported cases of parainfectious ocular flutter and truncal ataxia in association with dengue virus infection.^[1]” In fact, the ocular and neurological complication due to dengue is not uncommon and become the problem in clinical management.^[2] Nevertheless, the case report by Mahale et al. is not the first case report. There are at least previous case reports in the previous literature mentioned by Sakdisornchai et al.^[3] and Tan et al.^[4] Furthermore, a possible concurrent disorder that might result in ocular problem and ataxia is usually not ruled out in reported cases.^[5]

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Conflicts of interest

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References

1.	Mahale RR, Mehta A, Buddaraju K, Srinivasa R. Parainfectious ocular flutter and truncal ataxia in association with dengue fever. J Pediatr Neurosci 2017;12:91-2.   [PUBMED]  [Full text]
2.	Wiwanitkit V. Dengue fever: Diagnosis and treatment. Expert Rev Anti Infect Ther 2010;8:841-5.   [PUBMED]
3.	Sakdisornchai K, Sringean J, Jitkritsadakul O, Bhidayasiri R. Opsoclonus myoclonus ataxia syndrome in a seronegative patient with disseminated cryptococcosis: The first case report. Mov Disord [abstract]. Mov Disord 2016;31 (Suppl 2).
4.	Tan AH, Linn K, Ramli NM, Hlaing CS, Aye AM, Sam IC, et al. Opsoclonus-myoclonus-ataxia syndrome associated with dengue virus infection. Parkinsonism Relat Disord 2014;20:1309-10.   [PUBMED]
5.	Wiwanitkit V. Opsoclonus-myoclonus-ataxia syndrome associated with dengue. Parkinsonism Relat Disord 2015;21:159.   [PUBMED]