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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Dengue Fever, Altered State Of Consciousness, Talking Oddly. Normal Symptoms?

Hi Doctor, My father who is 65 was diagnosed with Dengue fever 2 weeks ago. He has been in a military hospital in for the last 2 weeks, but is now back home. He has an altered state of conciousness now and is behaving sparatically and saying and doing things that are odd. Are this a common after effect of Dengue Fever or is it more likely to be hospital based trauma?
Sat, 30 Nov 2013
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Pulmonologist 's  Response
Hi,
Thanks for your query.
Elderly patient may have electrolyte disturbance like decreased serum sodium (hyponatremia) which may cause altered conscious level. Moreover dengue hemorrhagic fever with extremely decreased platelet count may lead intracranial bleed. I think you must go for serum electrolytes, blood sugar and most importantly CT brain to rule out any intra-cranial lesion.

Best wishes
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Dengue Fever, Altered State Of Consciousness, Talking Oddly. Normal Symptoms?

Hi, Thanks for your query. Elderly patient may have electrolyte disturbance like decreased serum sodium (hyponatremia) which may cause altered conscious level. Moreover dengue hemorrhagic fever with extremely decreased platelet count may lead intracranial bleed. I think you must go for serum electrolytes, blood sugar and most importantly CT brain to rule out any intra-cranial lesion. Best wishes