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DENGUE FEVER WITH ACUTE ACALCULOUS CHOLECYSTITIS

Dengue fever (DF) with acute acalculous cholecystitis is rarely reported. To investigate the incidence, treatment, and prognosis of acute acalculous cholecystitis in DF patients, we retrospectively studied 10 patients with DF and acute acalculous cholecystitis. From October 2001 to July 2002, 131 patients were diagnosed with DF. Ten of 131 DF patients (7.63%) had complications of acute acalculous cholecystitis. Two patients underwent cholecystectomy and one underwent percutaneous transhepatic gallbladder drainage due to poor resolution of acute acalculous cholecystitis. We found acute acalculous cholecystitis in a small proportion of patients with DF. In our experience, closely monitoring vital signs to avoid shock and correct thrombocytopenia to avoid bleeding could be adequate for most patients. In some cases, surgical treatment may be needed for DF fever patients with complications of diffuse peritonitis.

Received November 21, 2002. Accepted for publication March 3, 2003.

Authors’ addresses: Keng-Liang Wu, Chi-Sin Changchien, Chung-Mou Kuo, Seng-Kee Chuah, Sheng-Nan Lu, and Chung-Huang Kuo, Division of Hepato-Gastroenterology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan, Republic of China. Hock-Liew Eng, Department of Pathology, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan, Republic of China.

Reprint requests: Chung-Huang Kuo, Division of Hepato-Gastroenterology, Department of Internal Medicine, Kaohsiug Chang Gung Memorial Hospital, 123 Ta-Pei Road, Niao Sung Hsiang 833, Kaohsiung Hsien, Taiwan, Republic of China, Telephone: 886-7-731-7123 extension 8301, Fax: 886-7-732-2402; E-mail: kuo25612{at}ms2.hinet.net.

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