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Association of dengue fever with longitudinally extensive transverse myelitis in pediatric age group is a rare entity. We describe a case of 15 year old adolescent male who presented with dengue fever and in whom symptoms of transverse myelitis developed 4 weeks after fever (post-infectious stage). Magnetic resonance imaging confirmed the diagnosis of longitudinally extensive transverse myelitis involving dorso-lumbar cord. Patient recovered almost completely with minimal residual neurological deficit after a six weeks course of corticosteroids and supportive management including physiotherapy.

A 12-year-old female patient presented to the Surgery Department with the complaint of gradually increasing painful swelling on the anterior chest wall for 1 month. There was presence of fever with chills but there was negative history of cough, dyspnea, anorexia, weight loss and trauma. Past medical history was negative for diabetes mellitus, steroid use, chest operation and recurrent systemic infections. The history of BCG vaccination was negative. General physical examination was normal. Local examination revealed a slightly erythematous, firm and severely tender swelling with local warmth over the manubrio-sternal area measuring approximately 6 × 3 cm. The laboratory examinations revealed normal white blood cell count of 7,400/mm 3 and raised ESR (65 mm in first hour). The mantoux test was positive. Anteroposterior radiograph of the chest was normal; however, the lateral radiograph of the chest revealed permeative destruction of manubrium sterni (Figure 1). On Ultrasound examination, a collection measuring approximately 20 ml was noted at expected location of manubrium and posterior to it, with bony destruction (Figure 2). Computed tomography of the chest was performed, which revealed evidence of osteolytic permeative destruction of manubrium sterni with formation of collection extending to