title: Dengue fever with acute acalculous cholecystitis.
abstract: 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.
authors.affiliation: Division of Hepato-Gastroenterology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan, Republic of China.
authors.forename: Keng-Liang
authors.initials: KL
authors.lastname: Wu
authors.forename: Chi-Sin
authors.initials: CS
authors.lastname: Changchien
authors.forename: Chung-Mou
authors.initials: CM
authors.lastname: Kuo
authors.forename: Seng-Kee
authors.initials: SK
authors.lastname: Chuah
authors.forename: Sheng-Nan
authors.initials: SN
authors.lastname: Lu
authors.forename: Hock-Liew
authors.initials: HL
authors.lastname: Eng
authors.forename: Chung-Huang
authors.initials: CH
authors.lastname: Kuo
mesh_terms: 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