Acute acalculous cholecystitis in dengue fever patients

Chandey, Manish; Kaur, Harjot; Kaur, Sukhjeet

doi:10.18203/2349-3933.ijam20170923

Cited by 7 publications

(4 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…14 Similar study was carried out in India showed that 38.8% DF patients had AAC without any complication. 15 However, all of these patients with AAC had complete recovery by supportive and symptomatic treatment only. None of them required surgery.…”

Section: Discussionmentioning

confidence: 96%

Acute Acalculous Cholecystitis in Dengue Fever with Raised Transaminase

Kazi Shihab Uddin,

Syed Minhaj Uddin Ahmed,

Sabera Sultana

et al. 2024

Khwaja Yunus Ali Medical College Journal

View full text Add to dashboard Cite

Background: Dengue fever is a viral fever classically characterized by high-grade temperature, headache, ocular pain, sternal pain, muscle and joint pain, nausea, vomiting and sometimes rash. Apart from above stated clinical features, there may be hepatitis, ascites, cholecystitis, pleural effusion, etc. which are confirmed by investigations.Objective: To establish the fact that acute acalculous cholecystitis is not uncommon in dengue fever. Raised transaminases are good indicators for further investigation and to find out the prognosis and management of acute acalculous cholecystitis in dengue fever.Materials and Methods: A total of 100 patients with confirmed dengue fever who were admitted to Khwaja Yunus Ali Medical College Hospital, were selected randomly for one month. Among them, 44 patients had undergone for ultrasound of the whole abdomen because of nausea, vomiting, abdominal pain and raised transaminases. Results: Acute acalculous cholecystitis was detected in 20 patients (20%) with confirmed dengue fever. These patients with acute acalculous cholecystitis were treated conservatively and they recovered completely without any surgical intervention.Conclusion: In dengue fever unlike acute pancreatitis or encephalitis, acute acalculous cholecystitis is not uncommon and it is self-limiting and resolved by conservative management. KYAMC Journal Volume: 14, No: 04, January 2024: 190-193.

show abstract

Section: Discussionmentioning

confidence: 96%

Acute Acalculous Cholecystitis in Dengue Fever with Raised Transaminase

Kazi Shihab Uddin,

Syed Minhaj Uddin Ahmed,

Sabera Sultana

et al. 2024

Khwaja Yunus Ali Medical College Journal

View full text Add to dashboard Cite

show abstract

“…Patients with a platelet count of more than 150,000/mm3 had no ultrasonographic abnormalities in this study. 20 Another regional study revealed that hepatomegaly was the commonest sonographic finding in patients with DF (44.4%) followed by acalculous cholecystitis (38.8%) and ascites (25.9%). Splenomegaly was seen in only 6.1% of the patients in this study.…”

Section: Discussionmentioning

confidence: 97%

Ultrasound as an Aid to Diagnosis in Dengue

Rasool¹,

Rasool²,

Meraj³

et al. 2022

JRMC

View full text Add to dashboard Cite

Objective: To determine the ultrasound findings in patients with dengue fever and to evaluate their relationship with laboratory parameters. Study Design and Setting: This prospective cross-sectional study was conducted at –removed for blind review---from September 2020 to August 2021. Methodology: Total of 248 patients diagnosed with dengue fever, fulfilling the exclusion and inclusion criteria, were included in the study. Demographic data was recorded on a structured proforma. Serological confirmation along with complete blood counts and liver function tests were obtained. Abdominal and chest ultrasounds were conducted in all patients. The ultrasonographic features of these patients were analyzed with laboratory investigations through SPSS version 23. Student’s t-test and Chi-square tests were used assessingess the association between the ultrasonographic findings and laboratory features. A P-value of <0.05 was considered significant. Results: The most common ultrasonographic feature among dengue patients was acalculous cholecystitis (49.6%) followed by hepatomegaly (47.2%), splenomegaly (46.8%), altered echotexture of the liver (46.4%), ascites (37.5%) and pleural effusion (7.3%). Acalculous cholecystitis and ascites were significantly associated with severe thrombocytopenia and increasing hematocrit. Acalculous cholecystitis, ascites, pleural effusion and altered echotexture of the liver were associated with raised transaminases. A low platelet count showed the strongest relationship with sonographic features of capillary leak syndrome. Conclusion: Ultrasound is a useful investigation to diagnose severe, critical dengue. The development of ultrasonographic features should prompt proactive management of these patients in order to prevent emergence of severe complicated dengue.

show abstract

“…Some studies also showed as high as 38% of cholecystitis in EDS. [6] These patients had an increased levels of alkaline phosphatase, thickened gallbladder wall, and pericholecystic fluid collection. The pathogenesis of acute acalculous cholecystitis is still unclear.…”

Section: Discussionmentioning

confidence: 99%

Clinicolaboratory profile of expanded dengue syndrome – Our experience in a teaching hospital

Mohanty

Sunder

Pathak

2019

J Family Med Prim Care

View full text Add to dashboard Cite

Introduction: Classic dengue fever presentation has expanded its horizon by involving various organ systems and is named as expanded dengue syndrome. This changing presentation and rising burden across the globe may lead to delayed diagnosis and under reporting of this syndrome. Aim of Study: To analyze clinicolaboratory profile of patients with expanded dengue syndrome. Materials and Methods: About 520 cases of expanded dengue syndrome as per World Health Organization definition criteria 2012 were studied with their informed consent. Detailed history, thorough clinical examination, and relevant investigations were done. Their clinical and laboratory parameters were analyzed. Standard treatment guidelines were followed in all cases. Observation: About 301 patients were male and 219 were female with male-to-female ratio of 3:2. Their age varied from 12 to 76 years with the average age of 47.5 years. About 92% of cases presented with various gastro hepatic manifestations. The commonest gastrohepatic manifestation was transaminitis (57.5%) that is asymptomatic elevation of liver enzymes followed by acalculous cholecystitis (21%) and acute pancreatitis (13.9%). Twenty-nine patients presented with various neurological manifestations. Three patients presented with acute kidney injury and eight patients had coinfection with malaria. Fever with nausea and vomiting was the most common presentation. About 15% of patients presented with bleeding manifestations. About 40.6% of patients presenting as abdominal manifestations had platelet count <20,000/mm 3 and needed platelet transfusion versus 9.8% with other system involvement (central nervous system, cardiovascular system (CVS), renal). Hepatomegaly was the most common ultrasonography (USG) finding being present in 57.5% of patients followed by acalculous cholecystitis in 21.3%. Total mortality was 1.9% in our series. We lost eight patients presenting with neurological manifestations and two patients with coinfection with malaria. Conclusion: Atypical presentations should prompt us to investigate for dengue especially during ongoing epidemics so that expanded dengue syndrome can be diagnosed and treated early.

show abstract

Acute acalculous cholecystitis in dengue fever patients

Cited by 7 publications

References 10 publications

Acute Acalculous Cholecystitis in Dengue Fever with Raised Transaminase

Acute Acalculous Cholecystitis in Dengue Fever with Raised Transaminase

Ultrasound as an Aid to Diagnosis in Dengue

Clinicolaboratory profile of expanded dengue syndrome – Our experience in a teaching hospital

Contact Info

Product

Resources

About