Bilateral Optical Neuritis by Dengue - An Atypical Case

Dengue is transmitted by a virus of the flaviviredae family, whose shedding is a hematophagous female arthropod called Aedes aegypti and Aedes albopictus; (2,3)Clinical presentation varies from febrile illness to hypovolemic shock.Symptoms appear 3-14 days after the sting characterized by fever,headache,myalgia,arthralgia, skin erythema and in more severe cases petechiae and mucosal bleeding(4,5).The diagnosis is clinical, but based on the guidelines of the World Health Organization,the detection of the virus by polymerase chain reaction or detection of antigens must be performed before the fifth day of the disease.There are few reports on the relationship of dengue infection and optic neuritis, which is considered an atypical manifestation of late onset,with a possible formation of auto-antibody, with serious sequelae,but with an adequate diagnosis and early intervention,visual sequelae may decrease (2).