A rare association of dengue meningitis with Plasmodium vivax malaria

Abstract

Neurological manifestations in dengue are now well known. Encephalitis is the most common manifestation, but meningitis is a rare phenomenon. We described a 10-year-old child who did not have typical features of dengue and presented with meningeal signs at the end of 2nd week of fever along with raised intracranial tension. Repeat fever work up in view of persisting fever spikes was suggestive of malaria coinfection. The association of dengue and malaria is not an uncommon entity; although both diseases are transmitted by a different type of arthropod vectors.