Association of dengue fever with transverse myelitis is a rare phenomenon; involvement of a long segment is even rarer. We describe a middle-aged female who presented with weakness of bilateral lower limbs and urinary retention 4 days after recovery from dengue fever. She, in addition, had a sensory level up to the level of nipples. Magnetic resonance imaging confirmed the diagnosis of longitudinally extensive transverse myelitis. Besides, the patient had spontaneous subarachnoid hemorrhage (SAH) in the absence of dengue hemorrhagic fever. The patient was started on steroids along with rehabilitation. Our case highlights the extensive involvement of spinal cord in the postinfectious phase of dengue and inclusion of this arboviral disease in the differential diagnoses of myelitis as well as an etiology of SAH.

Objective: This study was aimed to evaluate the effect of nutritional interventional measures on nutritional status of SAM children admitted in NRC in terms of increment in basic defining criteria of SAM. Methods: 54 cases were included in the study. Baseline variables such as age and sex duration of stay; general physical examinations including status of edema and systemic examination were conducted, and the clinical signs of micronutrient deficiencies were assessed. Anthropometric parameters such as weight, height/length, and mid-upper arm circumference were recorded at admission and discharge. Results: The mean weight of children at admission and discharge was 5.88±1.59 kg and 6.71±1.77 kg, respectively. Average weight gain was 0.84±0.42 kg (t = −0.784, p=0.437). An average rate of weight gain was 11.22±5.43 gm/kg/day. The Mean MUAC at admission was 10.62±1.21 cm, and mean MUAC on discharge was 11.49±1.24 cm. After intervention in hospital, about 65% of patients had <−2 Standard deviation (SD) of weight for height. Conclusion: We concluded that NRCs are effective in the management of malnutrition.

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