Early abdominal sonographic findings in patients with dengue fever.
OBJECTIVE
This study was conducted to evaluate the early sonographic findings in dengue hemorrhagic fever.


METHODS
From July 2002 to September 2002, 86 patients were referred to our center with suspected dengue fever during an outbreak of the disease in Taiwan. All the patients underwent immediate abdominal sonography when they arrived at our emergency room. The diagnosis of dengue fever was subsequently confirmed by serology in 65 patients.


RESULTS
All our patients had type 2 dengue fever, as confirmed by serologic tests. The sonographic features included a thickened gallbladder wall in 38 patients (59%), ascites in 24 patients (37%), splenomegaly in 22 patients (34%), and pleural effusion in 21 patients (32%); pleural effusion was either right-sided or bilateral.


CONCLUSIONS
Abdominal sonography can be used as a first-line imaging modality in patients with suspected dengue fever to detect early signs suggestive of the disease prior to obtaining serologic confirmation test results, especially in a dengue fever epidemic area.
Wu
Keng-Liang
KL
Division of Hepatogastroenterology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, 123, Ta-Pei Road, Niao Sung Hsiang, Kaohsiung Hsien, Taiwan.
Changchien
Chi-Sin
CS
Kuo
Chung-Huang
CH
Chiu
King-Wah
KW
Lu
Sheng-Nan
SN
Kuo
Chung-Mou
CM
Chiu
Yi-Chun
YC
Chou
Yeh-Pin
YP
Chuah
Seng-Kee
SK
D000006:Abdomen, Acute / Q000000981:diagnostic imaging*; D000293:Adolescent; D000328:Adult; D000368:Aged; D003715:Dengue / Q000000981:diagnostic imaging* / Q000453:epidemiology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D013624:Taiwan / Q000453:epidemiology; D014463:Ultrasonography