430 | 8 months | Tonic-clonic seizure, fever, rash, hepatomegaly | Lymphocytic leukocytosis, Anemia, Thrombocytopenia | Simple and contrasted brain CAT scan with no lesion or midline alteration | Dengue with warning signs, febrile convulsions | Positive | Negative | Clear liquid, with no RBC or leukocytes. Glucose (59 mg/dL), Proteins (21.5 mg/dL). Negative test for H. influezae, S. pneumoniae, group B Streptococcus, N. meningitidis. Criptococus neoformans negative, M. tuberculosis negative. | RT-PCR (+) | Severe dengue |
836 | 11 months | Four limbs hypotonic, epigastralgia, painful right hypochondrium, neck adenomegaly, fever | Leukocytosis, anemia, blood clotting alteration | Simple brain CAT scan with no lesions or hemorrhages | Febrile syndrome | Positive | Negative | Not available | RT-PCR (+) | Severe dengue Febrile seizures |
148 | 12 months | Fever, tonic-clonic seizures, peri buccal cyanosis, mydriasis, tachypnea | Anemia | Simple brain CAT scan normal. Normal Chest radiography | Convulsive syndrome Meningitis | Positive | Negative | Clear liquid, with no RBC or leukocytes. Glucose (63 mg/dL), Proteins (22.1 mg/dL). Negative test for H. influezae, S. pneumoniae, group B Streptococcus, N. meningitidis. Criptococus neoformans negative, M. tuberculosis negative. | RT-PCR (+) DENV-1 | Severe dengue |
273 | 12 months | Fever, generalized tonic convulsion, sialorrhea, rhonchus | Leukopenia, anemia, thrombocytopenia | Not done | Convulsive syndrome | Positive | Negative | Cloudy and bloody liquid. Negative for leukocytes. RBC 195.000/mm3, Glucose (76 mg/dL), Proteins (72.3 mg/dL). Negative test for H. influezae, S. pneumoniae, group B Streptococcus, N. meningitidis. Criptococus neoformans negative, M. tuberculosis negative. | RT-PCR (+) DENV-1 | Severe dengue, Dengue encephalitis |
795 | 12 months | Tonic-clonic seizures, fever, vomiting, cough, tachypnea, rhonchus, skin and mucosae pallor, sialorrhea | Leukopenia, anemia, thrombocytopenia | Not done | Convulsive syndrome Acute pharyngitis Viral encephalitis | Positive | Negative | Clear liquid, Leukocytes 98/mm3, Glucose (44 mg/dL), Proteins (64.9 mg/dL). Negative test for H. influezae, S. pneumoniae, group B Streptococcus, N. meningitidis. Criptococus neoformans negative, M. tuberculosis negative. | RT-PCR (+) | Severe dengue, bacterial meningitis, Viral encephalitis, Bronchiolitis, convulsive syndrome |
941 | 5 years | Ataxia, fever, generalized abdominal tenderness, cough | Normal | Simple brain CAT scan normal | Ataxia, Postinfectious Cerebellitis | Positive | Negative | Clear liquid, with no RBC, leukocytes 4/mm3, Glucose (48 mg/dL), Proteins (25.8 mg/dL). Negative test for H. influezae, S. pneumoniae, group B Streptococcus, N. meningitidis. Criptococus neoformans negative, M. tuberculosis negative. | RT-PCR (+) | Severe dengue, Ataxia, postinfectious cerebellitis |
308 | 5 years | Fever, Seizures, Asthenia, adynamia, rash, petechiae, headache, vomiting, | Leukopenia, thrombocytopenia, leucopenia, Increased ALT value | Chest Rx normal, Simple brain CAT scan normal | Dengue with warning signs, Vasculitis | Positive | Negative | Clear liquid, RBC 220.000/mm3, leukocytes 3000/mm3, Glucose (56 mg/dL), Proteins (55.7 mg/dL). Negative test for H. influezae, S. pneumoniae, group B Streptococcus, N. meningitidis. Criptococus neoformans negative, M. tuberculosis negative. | RT-PCR (+) | Severe dengue Focal seizures |
925 | 7 years | Fever, tonic-clonic seizures, sphincters relaxation, asthenia, adynamia, irritability, vomiting, hepatomegaly | Thrombocytopenia - PTT prolonged | Simple brain CAT scan normal | Dengue with warning signs. Epilepsy | Positive | Positive | Not done | RT-PCR (+) DENV-1 | Severe dengue |
329 | 7 years | Fever, vomiting, diarrhea, tachycardia, hypotension, mucosa and skin pallor, hepatomegaly, low blood pressure, respiratory distress (intercostal retractions, nasal flaring, basal rales), Hypoactivity, stupor, | Hematocrit reduction, creatinine value reduction | Brain resonance normal, mastoiditis | Viral encephalitis, gastroenteritis, acute respiratory infection | Positive | Negative | Clear liquid, with no RBC, leukocytes 720/mm3, Glucose (49 mg/dL), Proteins (155 mg/dL). Negative test for H. influezae, S. pneumoniae, group B Streptococcus, N. meningitidis. Criptococus neoformans negative, M. tuberculosis negative. | RT-PCR (+) | Severe dengue Viral encephalitis, Sepsis |
210 | 10 years | Headache, Fever, nauseas, ataxia, vomiting, hyporeflexia, epistaxis, asthenia, irritability | Not available | Simple brain CAT scan with no alteration | Acute ataxia, Viral cerebellitis | Positive | Positive | Clear liquid, RBC 20/mm3, leukocytes 90/mm3, Glucose (44 mg/dL), Proteins (68 mg/dL). Negative test for H. influezae, S. pneumoniae, group B Streptococcus, N. meningitidis. Criptococus neoformans negative, M. tuberculosis negative | RT-PCR (+) | Severe dengue. Acute ataxia Bipolar disorder |
797 | 10 years | Fever, tonic-clonic seizures, epistaxis, dehydration, irritability | Leukopenia, thrombocytopenia, PTT prolonged, AST value increased | Simple brain CAT scan normal, Electroencephalogram normal, chest Rx normal | Convulsive syndrome | Positive | Negative | Clear liquid, with no RBC or leukocytes, Glucose (71 mg/dL), Proteins (21.4 mg/dL). Negative test for H. influezae, S. pneumoniae, group B Streptococcus, N. meningitidis. Criptococus neoformans negative, M. tuberculosis negative | RT-PCR (+) | Severe dengue Focal seizures |