Dengue Fever With Acute Acalculous Cholecystitis

Wu, Keng‐Liang; Changchien, Chi‐Sin; Kuo, Chien-Lin; Chuah, Seng‐Kee; Lu, Sheng–Nan; Eng, Hock‐Liew

doi:10.4269/ajtmh.2003.68.657

Cited by 50 publications

(57 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…22 We additionally observed a broad range of other infections, such as cellulitis and cholecystitis (with potential secondary infection), that have been highlighted in case reports. 23,24 However, we cannot exclude the possibility that bacterial infection may also increase susceptibility to dengue infection.…”

Section: Discussionmentioning

confidence: 99%

Identification of Concurrent Bacterial Infection in Adult Patients with Dengue

See¹,

Phua²,

Yip³

et al. 2013

The American Journal of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

Abstract. We aim to construct a diagnostic model for bacterial coinfection in dengue patients (Dengue Dual Infection Score [DDIS]); 2,065 adult dengue patients (mean age = 41.9 ± 17.2 years, 58.4% male, 83 patients with bacterial coinfection) seen at a university hospital from January of 2005 to February of 2010 were studied. The DDIS was created by assigning one point to each of five risk factors for bacterial coinfection: pulse rate 90 beats/minute, total white cell count 6 + 10 9 /L, hematocrit 40%, serum sodium 135 mmol/L, and serum urea 5 mmol/L. The DDIS identified bacterial coinfection (derivation set area under the curve = 0.793, 95% confidence interval = 0.732-0.854; validation set area under the curve = 0.761, 95% confidence interval = 0.637-0.886). A DDIS of 4 had a specificity of 94.4%, whereas a DDIS of 1 had a sensitivity of 94.4% for bacterial coinfection. The DDIS can help to select dengue patients for early bacterial cultures and empirical antibiotics.

show abstract

Section: Discussionmentioning

confidence: 99%

Identification of Concurrent Bacterial Infection in Adult Patients with Dengue

See¹,

Phua²,

Yip³

et al. 2013

The American Journal of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

show abstract

“…Acalculous cholecystitis presents with right upper quadrant abdominal pain often radiating to right shoulder. Ultrasound abdomen reveals gall bladder mucosal edema and pericholecystic fluid without any gallstones secondary to vascular leakage of plasma [7][8][9]. Unlike other secondary causes, dengue related acalculous cholecystitis resolves spontaneously with sup portive care in majority of cases.…”

Section: Atypical Manifestations Of Dengue Fevermentioning

confidence: 99%

“…cases with gangrene and perforated gall bladder with peritonitis needing surgical intervention [5,7,8].…”

Section: Atypical Manifestations Of Dengue Fevermentioning

confidence: 99%

Atypical Manifestations of Dengue Fever – Where Do We Stand Today?

Nimmagadda

Chakrapani

Boloor

et al. 2014

JCDR

View full text Add to dashboard Cite

Background and Objectives: Dengue fever (DF) is transmitted by Aedes aegypti mosquitoes. With growing population, rapid urbanization and lack of appropriate sanitary measures, prolifer ation of mosquitoes and subsequent dengue infections have increased rampantly with an estimated 30fold increase in incid ence over last five decades. With rising disease burden, atypical manifestations have increased as well, which are missed most often due to lack of awareness. Our aim was to look for the atypical manifestations of dengue fever.

show abstract

“…Two of these patients underwent cholecystectomy and one underwent percutaneous transhepatic gallbladder drainage due to poor resolution. 7 In another series of 27 dengue patients presenting with fever and abdominal pain in a Northern Indian tertiary care hospital, 17 were found to have acalculus cholecystitis. 8 Pathophysiology of acute acalculous cholecystitis is bile stasis due to gall bladder dyskinesia and ischemia which results in local inflammation in the gall bladder wall.…”

Section: Discussionmentioning

confidence: 99%