Acute abdominal pain in dengue haemorrhagic fever: A study in Sri Lanka, 2009.
AbstractWe attempted to unravel the association of acute severe abdominal pain in 14 patients with dengue haemorrhagic fever during the epidemic in 2009. All had secondary dengue infection. The findings were severe thrombocytopenia (the mean platelet count 18x109/l, range 12–48), high liver enzymes (mean ALT 374U/l, range 82–2692), ascites in all cases, acute hepatitis in 11 cases (79%), acalculous cholecystitis in five cases (42%), and renal involvement in three cases (25%). All had normal serum amylase level and normal-looking pancreas in ultrasound scan. The abdominal pain in dengue infection warrants investigation to find a specific cause.
Weerakoon, K G A D, Chandrasekaramb, S, Jayabahu, J P S N K, Gunasena, S & Kularatne, S A M. (2009). Acute abdominal pain in dengue haemorrhagic fever: A study in Sri Lanka, 2009.. WHO Regional Office for South-East Asia.. http://www.who.int/iris/handle/10665/170944