A case of dengue fever with acute appendicitis: Not dengue fever mimicking appendicitis

Kumarasena, L; Piranavan, Paramarajan; Bandara, S.; Pubudu, W P G; Jayasundara, J. A. S. B.; Silva, A

doi:10.4038/sljs.v32i3.8111

Cited by 3 publications

(1 citation statement)

References 9 publications

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“…Supplemental Table S1 outlines the reports of acute appendicitis in dengue. [39][40][41][42][43][44][45][46] Six of the eight patients were male. Common clinical presentations include fever, abdominal pain mainly in the right lower quadrant, and tenderness.…”

Section: Common Causes Of Acute Abdomen In Dengue Infectionsmentioning

confidence: 99%

Dengue Infections and the Surgical Patient

Jayarajah

Lahiru

Zoysa

et al. 2021

The American Journal of Tropical Medicine and Hygiene

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Dengue infections are increasing globally and account for significant morbidity and mortality. Severe dengue results in microvascular changes and coagulopathy that may make surgical intervention risky and the overall surgical management challenging. We outline the potential surgical manifestations and complications following dengue infections and describe the clinical, pathogenetic, diagnostic, and treatment aspects of dengue and surgical patients. The main surgical presentations were acute cholecystitis, acute pancreatitis, acute appendicitis, splenic rupture, bowel perforation, gastrointestinal bleeding, and hematomas. Dengue may also mimic an acute abdomen without any true surgical complications. A majority were treated nonoperatively. Misdiagnosis and unnecessary surgical intervention resulted in poor outcomes. Better knowledge of the potential surgical complications would help in early diagnosis, treatment, and referral to specialized centers and thus improve outcomes. A high degree of suspicion of dengue fever is necessary when patients in a dengue-epidemic area present with acute abdomen or bleeding manifestations. In endemic areas, early dengue antigen testing and abdominal imaging before surgical intervention may help in the diagnoses. Multidisciplinary team involvement with case-by-case decision-making is needed for optimal care.

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Section: Common Causes Of Acute Abdomen In Dengue Infectionsmentioning

confidence: 99%

Dengue Infections and the Surgical Patient

Jayarajah

Lahiru

Zoysa

et al. 2021

The American Journal of Tropical Medicine and Hygiene

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Concurrent Scrub Typhus and Dengue Fever Mimicking Acute Appendicitis

Amritha¹,

Raveenthiran²

2022

Indian Pediatr

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Dengue fever may mislead the surgeons when it presents as an acute abdomen

Jayasundara

Perera

Silva

2017

Asian Pacific Journal of Tropical Medicine

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DF/DHF misleads the clinicians when it presents as AA. Initial hematological and ultrasonographic findings may be equivocal creating a diagnostic and management dilemma. Vigilant clinical suspicion and early dengue serological assessment is advisable in equivocal cases of AAs with fever in dengue endemic areas, to confirm/exclude the infection in order to avoid unnecessary surgical morbidity in the presence of DF.

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A case of dengue fever with acute appendicitis: Not dengue fever mimicking appendicitis

Cited by 3 publications

References 9 publications

Dengue Infections and the Surgical Patient

Dengue Infections and the Surgical Patient

Concurrent Scrub Typhus and Dengue Fever Mimicking Acute Appendicitis

Dengue fever may mislead the surgeons when it presents as an acute abdomen

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