Advanced Collateral Physiotherapy Management for Pneumothorax Following Dengue Encephalitis: A Case Study

Abstract

Dengue fever is a mosquito-borne sickness that has become a serious international public health issue in recent years.A 54 years old male patient, farmer by occupation came to rural hospital on 10TH September 2021 with complaint of fever associated with chills and rigors, slurring of speech 2 days back and 2 episodes of generalized tonic clonic seizures. Dengue was confirmed by the non-structural protein 1 (NS1) antigen and immunoglobulin M (IgM) antibody test. Radiological investigations revealed encephalitis and pneumothoraxfor which medical management along with inter costal drainage and collateral physiotherapeutic rehabilitation was administered.The goals of the physiotherapy rehabilitation were to reduce bronchospasm, to clear secretions lung fields, to regain full expansion of lungs and best possible functional recovery. Physiotherapy management has shown satisfactory results in regaining pulmonary function.After the completion of the treatment the patient gained maximum re-expansion of the lungs, had no breathing difficulties, the lungs were clear of sputum and was functionally independent.