title: [Acute gastrointestinal involvement in dengue disease by serotype 4: a case report and literature review].
abstract: Dengue fever is the world's most important arboviral disease, presenting a wide clinical spectrum. We report for the first time in Peru, a case caused by dengue virus serotype 4 with significant gastrointestinal involvement (acute acalculous cholecystitis and acute hepatitis). In addition we carried out a review of the literature atypical presentation illustrating the importance of the characteristics of abdominal pain (right upper quadrant); presence of Murphy's sign, ultrasound, and liver enzymes levels, for appropriate diagnosis and clinical management.
authors.affiliation: Hospital Regional de Loreto, Iquitos, Perú
authors.forename: Johan
authors.initials: J
authors.lastname: Marín
authors.forename: Stalin
authors.initials: S
authors.lastname: Vilcarromero
authors.forename: Brett M
authors.initials: BM
authors.lastname: Forshey
authors.forename: Juan C
authors.initials: JC
authors.lastname: Celis-Salinas
authors.forename: Cesar
authors.initials: C
authors.lastname: Ramal-Asayag
authors.forename: Amy C
authors.initials: AC
authors.lastname: Morrison
authors.forename: Alberto
authors.initials: A
authors.lastname: Laguna-Torres
authors.forename: Martín
authors.initials: M
authors.lastname: Casapía
authors.forename: Eric S
authors.initials: ES
authors.lastname: Halsey
mesh_terms: D042101:Acalculous Cholecystitis / Q000821:virology*; D000208:Acute Disease; D003715:Dengue / Q000150:complications / Q000821:virology*; D003716:Dengue Virus / Q000145:classification*; D005260:Female; D006505:Hepatitis / Q000821:virology*; D006801:Humans; D055815:Young Adult