title: Dengue shock syndrome.
abstract: Dengue fever is a mosquito-borne arthropod-borne viral (arboviral) tropical disease in humans affecting 50-528 million people worldwide. The acute abdominal complications of dengue fever are acute appendicitis, acute pancreatitis, acute acalculous cholecystitis and non-specific peritonitis. Acute pancreatitis with new onset diabetes in dengue shock syndrome (DSS) is very rarely reported. We describe a case of 30-year-old man admitted in intensive care unit and was diagnosed with DSS with RT-PCR, NS1 antigen and dengue IgM antibody being positive. Abdominal ultrasound and computerized tomography confirmed acute pancreatitis. Patient required insulin after recovery. Diabetes mellitus caused by DSS is under-reported and lack of awareness may increase mortality and morbidity.
authors.affiliation: Columbia Asia Hospital , Kirloskar Business Park , Hebbal , Bangalore.
authors.forename: Sreenivasa Rao
authors.initials: SR
authors.lastname: Sudulagunta
authors.affiliation: K. S. Hegde Medical College Mangalore, Karnataka.
authors.forename: Mahesh Babu
authors.initials: MB
authors.lastname: Sodalagunta
authors.affiliation: Baptist Hospital , Bellary Road, Bangalore.
authors.forename: Mona
authors.initials: M
authors.lastname: Sepehrar
authors.affiliation: Dr. B.R. Ambedkar Medical College , K.G. Halli, Bangalore.
authors.forename: Shiva Kumar
authors.initials: SK
authors.lastname: Bangalore Raja
authors.affiliation: Columbia Asia Hospital , Kirloskar Business Park , Hebbal , Bangalore.
authors.forename: Aravinda Settikere
authors.initials: AS
authors.lastname: Nataraju
authors.affiliation: Sri Ramachandra Medical College , Porur, Chennai.
authors.forename: Mounica
authors.initials: M
authors.lastname: Kumbhat
authors.affiliation: Columbia Asia Hospital , Kirloskar Business Park , Hebbal , Bangalore.
authors.forename: Deepak
authors.initials: D
authors.lastname: Sathyanarayana
authors.affiliation: Columbia Asia Hospital , Kirloskar Business Park , Hebbal , Bangalore.
authors.forename: Siddharth
authors.initials: S
authors.lastname: Gummadi
authors.affiliation: Columbia Asia Hospital , Kirloskar Business Park , Hebbal , Bangalore.
authors.forename: Hemanth Kumar
authors.initials: HK
authors.lastname: Burra