| | Code | Age | Clinical findings | Laboratory findings | Images | Presumptive diagnosis | Dengue IgM (serum) | Dengue IgG (serum) | Cerebrospinal fluid analysis | Serum molecular test | Discharge diagnosis |
| | 430 | 8 months | Tonic-clonic seizure, fever, rash, and hepatomegaly | Lymphocytic leukocytosis, anemia, thrombocytopenia | Simple and contrasted brain CAT scan with no lesion or midline alteration | Dengue with warning signs and febrile convulsions | Positive | Negative | Clear liquid, with no RBC or leukocytes. Glucose 59 mg/dL and proteins 21.5 mg/dL. Negative test for H. influezae, S. pneumoniae, group B Streptococcus, N. meningitidis, Criptococus neoformans negative, and M. tuberculosis negative | RT-PCR (+) | Severe dengue | | 836 | 11 months | Four limbs hypotonic, epigastralgia, painful right hypochondrium, neck adenomegaly, and fever | Leukocytosis, anemia, and 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, and 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 and proteins 22.1 mg/dL. Negative test for H. influezae, S. pneumoniae, group B Streptococcus, N. meningitidis, Criptococus neoformans negative, and M. tuberculosis negative | RT-PCR (+) DENV-1 | Severe dengue | | 273 | 12 months | Fever, generalized tonic convulsion, sialorrhea, and rhonchus | Leukopenia, anemia, and thrombocytopenia | Not done | Convulsive syndrome | Positive | Negative | Cloudy and bloody liquid. Negative for leukocytes. RBC 195.000/mm3, glucose 76 mg/dL, and proteins 72.3 mg/dL. Negative test for H. influezae, S. pneumoniae, group B Streptococcus, N. meningitidis, Criptococus neoformans negative, and M. tuberculosis negative | RT-PCR (+) DENV-1 | Severe dengue and dengue encephalitis | | 795 | 12 months | Tonic-clonic seizures, fever, vomiting, cough, tachypnea, rhonchus, skin and mucosae pallor, and sialorrhea | Leukopenia, anemia, and thrombocytopenia | Not done | Convulsive syndrome acute pharyngitis viral encephalitis | Positive | Negative | Clear liquid, leukocytes 98/mm3, glucose 44 mg/dL, and proteins 64.9 mg/dL. Negative test for H. influezae, S. pneumoniae, group B Streptococcus, N. meningitidis, Criptococus neoformans negative, and M. tuberculosis negative | RT-PCR (+) | Severe dengue, bacterial meningitis, viral encephalitis, bronchiolitis, and convulsive syndrome | | 941 | 5 years | Ataxia, fever, generalized abdominal tenderness, and cough | Normal | Simple brain CAT scan normal | Ataxia and postinfectious cerebellitis | Positive | Negative | Clear liquid, with no RBC, leukocytes 4/mm3, glucose 48 mg/dL, and proteins 25.8 mg/dL. Negative test for H. influezae, S. pneumoniae, group B Streptococcus, N. meningitidis, Criptococus neoformans negative, and M. tuberculosis negative | RT-PCR (+) | Severe dengue, ataxia, and postinfectious cerebellitis | | 308 | 5 years | Fever, seizures, asthenia, adynamia, rash, petechiae, headache, and vomiting | Leukopenia, thrombocytopenia, leucopenia, and increased ALT value | Chest rx normal and simple brain CAT scan normal | Dengue with warning signs and vasculitis | Positive | Negative | Clear liquid, RBC 220.000/mm3, leukocytes 3000/mm3, glucose 56 mg/dL, and proteins 55.7 mg/dL. Negative test for H. influezae, S. pneumoniae, group B Streptococcus, N. meningitidis, Criptococus neoformans negative, and M. tuberculosis negative | RT-PCR (+) | Severe dengue focal seizures | | 925 | 7 years | Fever, tonic-clonic seizures, sphincters relaxation, asthenia, adynamia, irritability, vomiting, and 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, and basal rales), hypoactivity, and stupor | Hematocrit reduction and creatinine value reduction | Brain resonance normal and mastoiditis | Viral encephalitis, gastroenteritis, and acute respiratory infection | Positive | Negative | Clear liquid, with no RBC, leukocytes 720/mm3, glucose 49 mg/dL, and proteins 155 mg/dL. Negative test for H. influezae, S. pneumoniae, group B Streptococcus, N. meningitidis, Criptococus neoformans negative, and M. tuberculosis negative | RT-PCR (+) | Severe dengue viral encephalitis and sepsis | | 210 | 10 years | Headache, fever, nauseas, ataxia, vomiting, hyporeflexia, epistaxis, asthenia, and irritability | Not available | Simple brain CAT scan with no alteration | Acute ataxia and viral cerebellitis | Positive | Positive | Clear liquid, RBC 20/mm3, leukocytes 90/mm3, glucose 44 mg/dL, and proteins 68 mg/dL. Negative test for H. influezae, S. pneumoniae, group B Streptococcus, N. meningitidis, Criptococus neoformans negative, and M. tuberculosis negative | RT-PCR (+) | Severe dengue. Acute ataxia Bipolar disorder | | 797 | 10 years | Fever, tonic-clonic seizures, epistaxis, dehydration, and irritability | Leukopenia, thrombocytopenia, PTT prolonged, and AST value increased | Simple brain CAT scan normal, electroencephalogram normal, and chest Rx normal | Convulsive syndrome | Positive | Negative | Clear liquid, with no RBC or leukocytes, glucose 71 mg/dL, and proteins 21.4 mg/dL. Negative test for H. influezae, S. pneumoniae, group B Streptococcus, N. meningitidis, Criptococus neoformans negative, and M. tuberculosis negative | RT-PCR (+) | Severe dengue focal seizures |
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