Expanded dengue syndrome: three concomitant uncommon presentations in the same patient

We report a case of expanded dengue syndrome, where three uncommon presentations occurred concomitantly. A patient with dengue haemorrhagic fever presented initially with acute acalculous cholecystitis along with acute pancreatitis, but later on, during resolution of pancreatitis and cholecystitis,...

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Bibliographic Details
Published in:Tropical doctor 2017-04, Vol.47 (2), p.167-170
Main Authors: Anam, Ahmad Mursel, Rabbani, Raihan, Shumy, Farzana
Format: Article
Language:English
Subjects:
Acalculous Cholecystitis - diagnosis
Adult
Diagnosis, Differential
Humans
Lymphohistiocytosis, Hemophagocytic - diagnosis
Male
Pancreatitis - diagnosis
Severe Dengue - diagnosis
Syndrome
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Summary:We report a case of expanded dengue syndrome, where three uncommon presentations occurred concomitantly. A patient with dengue haemorrhagic fever presented initially with acute acalculous cholecystitis along with acute pancreatitis, but later on, during resolution of pancreatitis and cholecystitis, developed pancytopenia, most likely due to haemophagocytic syndrome. Such presentations, besides being rare themselves, have not been reported to occur concomitantly, in the same patient, during the same disease process.
ISSN:0049-4755
1758-1133
DOI:10.1177/0049475517696638