Dengue Fever Mimicking Acute Appendicitis: A Case Report

Kang, Yoon Jung; Choi, Sung Youn; Kang, Im Ju; Lee, Jae Eun; Seo, Mi Hye; Lee, Tae Houn; Ghim, Byoung Kwon

doi:10.3947/ic.2009.41.4.236

Cited by 7 publications

(5 citation statements)

References 11 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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“…The countries with relatively low incidence of dengue, such as Taiwan and Singapore, showed severe dengue rates of less than 1%. In Korea, national surveillance system has not reported the incidence of severe dengue, but clinical case study reported a few cases of severe dengue (4344). …”

Section: Imported Cases In Koreamentioning

confidence: 99%

Epidemiological Characteristics and Risk Factors of Dengue Infection in Korean Travelers

Bae

Kim

et al. 2016

J Korean Med Sci

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Dengue viral infection has rapidly spread around the world in recent decades. In Korea, autochthonous cases of dengue fever have not been confirmed yet. However, imported dengue cases have been increased since 2001. The risk of developing severe dengue in Korean has been increased by the accumulation of past-infected persons with residual antibodies to dengue virus and the remarkable growth of traveling to endemic countries in Southeast Asia. Notably, most of imported dengue cases were identified from July to December, suggesting that traveling during rainy season of Southeast Asia is considered a risk factor for dengue infection. Analyzing national surveillance data from 2011 to 2015, males aged 20–29 years are considered as the highest risk group. But considering the age and gender distribution of travelers, age groups 10–49 except 20–29 years old males have similar risks for infection. To minimize a risk of dengue fever and severe dengue, travelers should consider regional and seasonal dengue situation. It is recommended to prevent from mosquito bites or to abstain from repetitive visit to endemic countries. In addition, more active surveillance system and monitoring the prevalence asymptomatic infection and virus serotypes are required to prevent severe dengue and indigenous dengue outbreak.

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“…Published literature cumulatively report 21 cases of DF presenting as AA, and six patients have undergone appendicectomy. [1][2][3][4] Microscopic evaluation of these specimens showed lymphocytic infiltration, lymphoid hyperplasia or normal microscopy. None of these patients had histological evidence of acute appendicitis and this patient is probably the first to have microscopic evidence of supurative AA.…”

Section: Discussionmentioning

confidence: 97%

“…Published literature provides limited number of reports of acute abdominal problems mimicking DF. [1][2][3][4] Acute appendicitis is a common condition which can get complicated with perforation, peri-appendicial abscess formation, peritonitis and rarely death. [5] We report the experience with an adolescent presented as having AA which was confirmed peri-operatively as well as histologically, who also had evidence of dengue hemorrhagic fever (DHF) during post-operative period.…”

Section: Introductionmentioning

confidence: 99%