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.
Wu
Keng-Liang
KL
Division of Hepato-Gastroenterology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan, Republic of China.
Changchien
Chi-Sin
CS
Kuo
Chung-Mou
CM
Chuah
Seng-Kee
SK
Lu
Sheng-Nan
SN
Eng
Hock-Liew
HL
Kuo
Chung-Huang
CH
D000208:Acute Disease; D000328:Adult; D002763:Cholecystectomy; D002764:Cholecystitis / Q000175:diagnosis* / Q000453:epidemiology / Q000601:surgery; D003715:Dengue / Q000150:complications*; D004322:Drainage; D005260:Female; D005704:Gallbladder; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies