Acute acalculous cholecystitis in a pediatric dengue hemorrhagic fever patient: A case report, lesson learned from limited resource setting

Setyawati, Amallia Nuggetsiana; Dk, Kusmiyati Tjahjono; Chionardes, Melissa Angela; Arkhaesi, Nahwa

doi:10.1016/j.amsu.2022.104437

Cited by 3 publications

(3 citation statements)

References 15 publications

(14 reference statements)

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“…Acute acalculous cholecystitis and pancreatitis were previously reported after DENV infection, especially in patients with DHF [ 24 , 25 , 27 , 51 – 54 ]. Detailed mechanisms of acute cholecystitis and pancreatitis remain unknown in the acute phase of DENV infection.…”

Section: Discussionmentioning

confidence: 99%

Risks of Acute Cholecystitis, Acute Pancreatitis, and Acute Appendicitis in Patients with Dengue Fever: A Population-Based Cohort Study in Taiwan

et al. 2023

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Introduction Although cases of acute cholecystitis, acute pancreatitis, and acute appendicitis following dengue virus infections have been documented, very few large-scale studies have investigated the postdengue risk of these acute abdominal conditions. Methods This retrospective population-based cohort study included all patients with laboratory-confirmed dengue from 2002 to 2015 in Taiwan and 1:4 nondengue individuals matched by age, sex, area of residence, and symptom onset time. Multivariate Cox proportional hazards regression models were used to investigate the short-term (≤ 30 days), medium-term (31–365 days), and long-term (> 1 year) risks of acute cholecystitis, pancreatitis, and appendicitis after dengue infection, adjusted for age, sex, area of residence, urbanization level, monthly income level, and comorbidities. Bonferroni correction was used for multiple testing; E-values were used to assess the robustness of the results to unmeasured confounding. Results This study included 65,694 individuals with dengue and 262,776 individuals without dengue. Patients with dengue had a significantly increased risk of acute cholecystitis (adjusted hazard ratio (aHR) 60.21; 95% CI 29.11–124.54; P < 0.0001, E-value = 119.92) and acute pancreatitis (aHR 17.13; 95% CI 7.66–38.29; P < 0.0001, E-value = 33.75) within the first 30 days postinfection compared to those without dengue, but this increased risk was not present after that. The incidence rates of acute cholecystitis and pancreatitis in the first 30 days were 18.79 and 5.27 per 10,000, respectively. No increased risk of acute appendicitis was observed among patients with acute dengue infection. Conclusion This study was the first large epidemiological study to show a significantly increased risk of acute cholecystitis and pancreatitis among patients with dengue during the acute phase of dengue infection, while no such association was observed for acute appendicitis. Early identification of acute cholecystitis and pancreatitis in patients with dengue is crucial for preventing fatal complications. Supplementary Information The online version contains supplementary material available at 10.1007/s40121-023-00821-1.

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Section: Discussionmentioning

confidence: 99%

Risks of Acute Cholecystitis, Acute Pancreatitis, and Acute Appendicitis in Patients with Dengue Fever: A Population-Based Cohort Study in Taiwan

et al. 2023

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“…However, the incidence of abdominal pain as a clinical manifestation of DF is rare. 3 Herein we report a rare and potentially fatal case of 74 years female of acute severe cholangitis with cholelithiasis and choledocholithiasis with dengue fever and scrub typhus co-infection. This case report has been reported in line with the SCARE 2020 criteria.…”

Section: Introductionmentioning

confidence: 95%

Dengue fever and Scrub typhus co-infection deteriorating Severe Acute Cholangitis: A rare case report

Karki,

Basukala,

Banmala

et al. 2023

Preprint

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Co-infection of acute cholangitis with dengue fever and scrub typhus is rare and life threatening. We present a case of 74-years-female known case of chronic obstructive pulmonary disease (COPD) who had epigastric pain, fever and vomiting for 3 days. She was found to have shock with altered sensorium and icterus. She tested positive for scrub typhus and dengue fever. She was managed conservatively as biliary drainage were not done due to thrombocytopenia and patient party denial. Early diagnosis and treatment are of paramount value in severe acute cholangitis along with dengue fever and scrub typhus.

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“…Yet, it was previously reported that anti-CRP autoantibodies have been reported in hepatitis C cases, a fact that raises further diagnostic questions for its lower levels in that condition. Acute acalculous cholecystitis case reports reveal different CRP concentrations after different various pathogenic agents (about 5 mg/L for Epstein–Barr Virus (EBV), and more than 200 mg/L in measles infection and various other intermediate values due to other viruses) [ 941 , 942 , 943 , 944 , 945 , 946 , 947 , 948 , 949 ].…”

Section: Current Evidence On C-reactive Protein and Potential Conditionsmentioning

confidence: 99%

C-Reactive Protein: Pathophysiology, Diagnosis, False Test Results and a Novel Diagnostic Algorithm for Clinicians

Mouliou

2023

Diseases

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The current literature provides a body of evidence on C-Reactive Protein (CRP) and its potential role in inflammation. However, most pieces of evidence are sparse and controversial. This critical state-of-the-art monography provides all the crucial data on the potential biochemical properties of the protein, along with further evidence on its potential pathobiology, both for its pentameric and monomeric forms, including information for its ligands as well as the possible function of autoantibodies against the protein. Furthermore, the current evidence on its potential utility as a biomarker of various diseases is presented, of all cardiovascular, respiratory, hepatobiliary, gastrointestinal, pancreatic, renal, gynecological, andrological, dental, oral, otorhinolaryngological, ophthalmological, dermatological, musculoskeletal, neurological, mental, splenic, thyroid conditions, as well as infections, autoimmune-supposed conditions and neoplasms, including other possible factors that have been linked with elevated concentrations of that protein. Moreover, data on molecular diagnostics on CRP are discussed, and possible etiologies of false test results are highlighted. Additionally, this review evaluates all current pieces of evidence on CRP and systemic inflammation, and highlights future goals. Finally, a novel diagnostic algorithm to carefully assess the CRP level for a precise diagnosis of a medical condition is illustrated.

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Acute acalculous cholecystitis in a pediatric dengue hemorrhagic fever patient: A case report, lesson learned from limited resource setting

Cited by 3 publications

References 15 publications

Risks of Acute Cholecystitis, Acute Pancreatitis, and Acute Appendicitis in Patients with Dengue Fever: A Population-Based Cohort Study in Taiwan

Risks of Acute Cholecystitis, Acute Pancreatitis, and Acute Appendicitis in Patients with Dengue Fever: A Population-Based Cohort Study in Taiwan

Dengue fever and Scrub typhus co-infection deteriorating Severe Acute Cholangitis: A rare case report

C-Reactive Protein: Pathophysiology, Diagnosis, False Test Results and a Novel Diagnostic Algorithm for Clinicians

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