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1
Gubler DJ, 1997. Dengue and dengue hemorrhagic fever: its history and resurgence as a global public health problem. Gubler DJ, Kuno G, eds. Dengue and dengue hemorrhagic fever. Wallingford, United Kinddom: CAB International, 1–22.
-
2
Liu HW, Ho TL, Hwang CS, Liao YH, 1989. Clinical observations of virologically confirmed dengue fever in the 1987 outbreak in southern Taiwan. Kaohsiung J Med Sci 5 :42–49.
-
3
Harn MR, 1989. Clinical study on dengue fever during 1987–1988 epidemic at Kaohsiung City, sourthern Taiwan. Kaohsiung J Med Sci 5 :58–65.
-
4
Ho M, 1998. Current outlook of infectious diseases in Taiwan. J Microbiol Immunol Infect 31 :73–83.
-
5
Chen WJ, Chen SL, Chien LJ, Chen CC, King CC, Harn MR, Hwang KP, Fang JH, 1996. Silent transmission of the dengue virus in southern Taiwan. Am J Trop Med Hyg 55 :12–16.
-
6
Harn MR, Chiang YL, Tian MJ, Chang YH, Ko YC, 1993. The 1991 dengue epidemic in Kaohsiung City. J Formos Med Assoc 92 :S39–S43.
-
7
Liu JW, Khor BS, Lee CH, Lee IK, Chen RF, Yang KD, 2003. Dengue haemorrhagic fever in Taiwan. Dengue Bull 27 :19–23.
-
8
Lee IK, Liu JW, Yang KD, 2005. Clinical characteristics and risk factors for concurrent bacteremia in adults with dengue hemorrhagic fever. Am J Trop Med Hyg 72 :221–226.
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9
Sood A, Midha V, Sood N, Kaushal V, 2000. Acalculous cholecystitis as an atypical presentation of dengue fever. Am J Gastroenterol 95 :3316–3317.
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10
Wu KL, Changchien CS, Kuo CM, Chuah SK, Lu SN, Eng HL, Kuo CH, 2003. Dengue fever with acute acalculous cholecystitis. Am J Trop Med Hyg 68 :657–660.
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11
Shu PY, Chen LK, Chang SF, Yuen YY, Chow L, Chien LJ, Chin C, Yang HH, Lin TH, Huang JH, 2002. Potential application of nonstructural protein NS1 serotype-specific immunoglobulin G enzyme-linked immunosorbent assay in the seroepidemiologic study of dengue virus infection: correlation of results with those of the plaque reduction neutralization test. J Clin Microbiol 40 :1840–1844.
-
12
Chen RF, Yeh WT, Yang MY, Yang KD, 2001. A model of the real-time correlation of viral titers with immune reactions in antibody-dependent enhancement of dengue-2 infections. FEMS Immunol Med Microbiol 30 :1–7.
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13
WHO, 1997. Dengue Haemorrhagic Fever: Diagnosis, Treatment, and Control. Geneva: World Health Organization.
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14
Boey JH, 1994. The acute abdomen. Lawrence WW, eds. Current Surgical Diagnosis and Treatment. Tenth edition. Norwalk, CT: Appleton and Lange, 441–452.
-
15
Campbell CW, Eckman MR, 1975. Acute acalculus cholecystitis caused by Salmonella indiana. JAMA 233 :815.
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16
McCarron B, Love WC, 1997. Acalculous nontyphoidal salmonellal cholecystitis requiring surgical intervention despite ciprofloxacin therapy: report of three cases. Clin Infect Dis 24 :707–709.
-
17
Brodov LE, 1973. A case of an unusual course in Q-rickettsiosis. Klin Med (Mosk) 51 :144–145.
-
18
Vilaichone RK, Mahachai V, Wilde H, 1999. Acute acalculous cholecystitis in leptospirosis. J Clin Gastroenterol 29 :280–283.
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19
McKiernan J, O’Brien DJ, Dundon S, 1976. Leptospirosis and acalculous cholecystitis. Ir Med J 69 :71–72.
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20
Setiawan MW, Samsi TK, Pool TN, Sugianto D, Wulur H, 1995. Gallbladder wall thickening in dengue hemorrhagic fever: an ultrasonographic study. J Clin Ultrasound 23 :357–362.
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21
Pramuljo HS, Harun SR, 1991. Ultrasound findings in dengue haemorrhagic fever. Pediatr Radiol 21 :100–102.
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22
Hakala T, Nuutinen PJ, Ruokonen ET, Alhava E, 1997. Micro-angiopathy in acute acalculous cholecystitis. Br J Surg 84 :1249–1252.
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23
Wolber RA, Scudamore CH, 1996. The gastrointestinal tract. Banks PM, Kraybill WG, eds. Pathology for the Surgeons. Philadelphia: W. B. Saunders, 169–198.
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24
van Gorp EC, Minnema MC, Suharti C, Mairuhu ATA, Brandjes DPM, ten Cate H, Hack CE, Meijers JCM, 2001. Activation of coagulation factor XI, without detectable contact activation in dengue hemorrhagic fever. Br J Haematol 113 :94–99.
| Past two years | Past Year | Past 30 Days | |
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| Abstract Views | 216 | 163 | 6 |
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DENGUE HEMORRHAGIC FEVER PATIENTS WITH ACUTE ABDOMEN: CLINICAL EXPERIENCE OF 14 CASES
BOON-SIANG KHOR
BOON-SIANG KHOR
Division of Infectious Diseases, Department of Internal Medicine, and Department of Pediatrics, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Kaohsiung, Taiwan, Republic of China
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JIEN-WEI LIU
JIEN-WEI LIU
Division of Infectious Diseases, Department of Internal Medicine, and Department of Pediatrics, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Kaohsiung, Taiwan, Republic of China
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ING-KIT LEE
ING-KIT LEE
Division of Infectious Diseases, Department of Internal Medicine, and Department of Pediatrics, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Kaohsiung, Taiwan, Republic of China
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KUENDER D. YANG
KUENDER D. YANG
Division of Infectious Diseases, Department of Internal Medicine, and Department of Pediatrics, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Kaohsiung, Taiwan, Republic of China
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Among 328 patients with dengue hemorrhagic fever/dengue shock syndrome (DHF/DSS), 14 (4 men and 10 women, median age 44 years) had acute abdomen. DHF/DSS was initially suspected in only 2 of these 14 patients. Presumptive diagnoses of acute cholecystitis (6 acalculus and 4 calculus cholecystitis) were made in 10 patients, non-specific peritonitis in three patients, and acute appendicitis in one patients. Cholecystectomy, percutaneous transhepatic gallbladder drainage, and appendectomy were performed in three patients. Transfused blood in the three patients who underwent invasive procedures and the 11 patients who received supportive treatment included packed red blood cells (24 versus 0 units; P = 0.048), fresh frozen plasma (84 versus 0 units; P = 0.048), and platelets (192 versus 180 units; P = 0.003). Patients who underwent invasive procedures also had prolonged time in the hospital (median = 11 versus 7 days; P = 0.015). To avoid unnecessary invasive procedure–related morbidity and mortality, this report underscores the importance of a careful differential diagnosis in patients with acute abdomen in a dengue-endemic setting.
Author Notes
ProCite
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-
1
Gubler DJ, 1997. Dengue and dengue hemorrhagic fever: its history and resurgence as a global public health problem. Gubler DJ, Kuno G, eds. Dengue and dengue hemorrhagic fever. Wallingford, United Kinddom: CAB International, 1–22.
-
2
Liu HW, Ho TL, Hwang CS, Liao YH, 1989. Clinical observations of virologically confirmed dengue fever in the 1987 outbreak in southern Taiwan. Kaohsiung J Med Sci 5 :42–49.
-
3
Harn MR, 1989. Clinical study on dengue fever during 1987–1988 epidemic at Kaohsiung City, sourthern Taiwan. Kaohsiung J Med Sci 5 :58–65.
-
4
Ho M, 1998. Current outlook of infectious diseases in Taiwan. J Microbiol Immunol Infect 31 :73–83.
-
5
Chen WJ, Chen SL, Chien LJ, Chen CC, King CC, Harn MR, Hwang KP, Fang JH, 1996. Silent transmission of the dengue virus in southern Taiwan. Am J Trop Med Hyg 55 :12–16.
-
6
Harn MR, Chiang YL, Tian MJ, Chang YH, Ko YC, 1993. The 1991 dengue epidemic in Kaohsiung City. J Formos Med Assoc 92 :S39–S43.
-
7
Liu JW, Khor BS, Lee CH, Lee IK, Chen RF, Yang KD, 2003. Dengue haemorrhagic fever in Taiwan. Dengue Bull 27 :19–23.
-
8
Lee IK, Liu JW, Yang KD, 2005. Clinical characteristics and risk factors for concurrent bacteremia in adults with dengue hemorrhagic fever. Am J Trop Med Hyg 72 :221–226.
-
9
Sood A, Midha V, Sood N, Kaushal V, 2000. Acalculous cholecystitis as an atypical presentation of dengue fever. Am J Gastroenterol 95 :3316–3317.
-
10
Wu KL, Changchien CS, Kuo CM, Chuah SK, Lu SN, Eng HL, Kuo CH, 2003. Dengue fever with acute acalculous cholecystitis. Am J Trop Med Hyg 68 :657–660.
-
11
Shu PY, Chen LK, Chang SF, Yuen YY, Chow L, Chien LJ, Chin C, Yang HH, Lin TH, Huang JH, 2002. Potential application of nonstructural protein NS1 serotype-specific immunoglobulin G enzyme-linked immunosorbent assay in the seroepidemiologic study of dengue virus infection: correlation of results with those of the plaque reduction neutralization test. J Clin Microbiol 40 :1840–1844.
-
12
Chen RF, Yeh WT, Yang MY, Yang KD, 2001. A model of the real-time correlation of viral titers with immune reactions in antibody-dependent enhancement of dengue-2 infections. FEMS Immunol Med Microbiol 30 :1–7.
-
13
WHO, 1997. Dengue Haemorrhagic Fever: Diagnosis, Treatment, and Control. Geneva: World Health Organization.
-
14
Boey JH, 1994. The acute abdomen. Lawrence WW, eds. Current Surgical Diagnosis and Treatment. Tenth edition. Norwalk, CT: Appleton and Lange, 441–452.
-
15
Campbell CW, Eckman MR, 1975. Acute acalculus cholecystitis caused by Salmonella indiana. JAMA 233 :815.
-
16
McCarron B, Love WC, 1997. Acalculous nontyphoidal salmonellal cholecystitis requiring surgical intervention despite ciprofloxacin therapy: report of three cases. Clin Infect Dis 24 :707–709.
-
17
Brodov LE, 1973. A case of an unusual course in Q-rickettsiosis. Klin Med (Mosk) 51 :144–145.
-
18
Vilaichone RK, Mahachai V, Wilde H, 1999. Acute acalculous cholecystitis in leptospirosis. J Clin Gastroenterol 29 :280–283.
-
19
McKiernan J, O’Brien DJ, Dundon S, 1976. Leptospirosis and acalculous cholecystitis. Ir Med J 69 :71–72.
-
20
Setiawan MW, Samsi TK, Pool TN, Sugianto D, Wulur H, 1995. Gallbladder wall thickening in dengue hemorrhagic fever: an ultrasonographic study. J Clin Ultrasound 23 :357–362.
-
21
Pramuljo HS, Harun SR, 1991. Ultrasound findings in dengue haemorrhagic fever. Pediatr Radiol 21 :100–102.
-
22
Hakala T, Nuutinen PJ, Ruokonen ET, Alhava E, 1997. Micro-angiopathy in acute acalculous cholecystitis. Br J Surg 84 :1249–1252.
-
23
Wolber RA, Scudamore CH, 1996. The gastrointestinal tract. Banks PM, Kraybill WG, eds. Pathology for the Surgeons. Philadelphia: W. B. Saunders, 169–198.
-
24
van Gorp EC, Minnema MC, Suharti C, Mairuhu ATA, Brandjes DPM, ten Cate H, Hack CE, Meijers JCM, 2001. Activation of coagulation factor XI, without detectable contact activation in dengue hemorrhagic fever. Br J Haematol 113 :94–99.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 216 | 163 | 6 |
| Full Text Views | 476 | 4 | 0 |
| PDF Downloads | 236 | 4 | 0 |