Doctors at Fortis Hospitals, Cunningham road successfully treated a 37 year old male patient who was suffering from severe brain damage and coma as a result of dengue fever. The dengue fever had major problem causing brain damage leading on to coma. The team of doctors was led by Dr. Nithin Kumar N, Consultant Neurologist at Fortis Hospitals, Cunningham road, worked together towards treating the patient with a good outcome.
Mr. Deva, a railway employee, was suffering from fever for more than a one week. When his consciousness deteriorated further, then he was finally admitted into the emergency room at the hospital. After repeated fits or seizures, the patient slipped into coma. He was immediately put on the ventilator support and all required instructions were carried out, which included blood investigations, brain scan and spine fluid test. Investigations revealed that this patient had dengue infection. However, the MRI brain scan done showed severe brain injury in crucial parts of the brain.
The usual treatment for patients with dengue which includes fever, hydration and supportive care was not of much help. With no recognized option left, doctors considered medication which can modulate the altered immune system which has been considered rarely in some patients in the past with a small chance of good outcome. With such brain lesions, the chance of recovery is usually considered as very poor. With the collective team work from the doctors at Cunningham road, this patient survived.
Dr Nithin Kumar N, Consultant Neurologist at Fortis Hospitals, Cunningham road, said, “The case was complex and one of its kind as the patient’s brain lesions were unusual. The MRI of his brain showed pictures of dengue encephalitis, a rare manifestation of dengue fever, due to which his survival chances were minimal. However, we did not lose hope and continued the medications, even after being in coma for 30 days, with treatment of his immune system, he improved and was removed from the ventilator. He started showing positive signs like blinking and smiling. After few weeks’ time, he was removed from all forms of life support system. He became completely conscious by the mid of 5th week and started speaking coherently. He was recommended physiotherapy at home.”
Surprisingly, patients started showing good response by 2 weeks after this therapy. He started opening his eyes, started moving his hands and gradually starting following verbal commands. By the next 2 weeks he was out of the ventilator and was able to speak clearly with significant recovery in his mental functions. With rehabilitation he was even able to stand with support and taken 2-3 steps during discharge.
Deva’s wife said, “I’m so glad my husband has recovered. We were very scared when he started talking slurpy and frequently felt drowsy. His condition is completely revised now and he’s able to move well with the physiotherapy care. I appreciate how positively the medical team at Fortis took charge of his treatment, their dedication gave us the hope that helped us go through all of it.”
For More Information contact
Mr Vinod Kumar / E-Mail : firstname.lastname@example.org