Dengue Myositis and Review of Literature

Dengue is an acute mosquito-borne infection caused by dengue viruses from the genus flavivirus. Although viral myositis is common, myositis caused by dengue virus is not commonly reported. We present a case of an 18 year old female with serologically confirmed dengue fever presenting with severe myalgia and lower limb weakness. Twenty fold elevation of serum creatinine kinase level was noted. She was conservatively managed and made an uneventful recovery. Myositis with dengue virus may be under-recognized and under reported. We suggest that patients with dengue fever presenting with severe myalgia should have serum creatinine kinase levels checked and urinalysis for myoglobinuria for early detection and prevention of rhabdomyolysis.