title: Upper gastrointestinal haemorrhage in severe dengue: To scope or not to scope?
abstract: Upper gastrointestinal haemorrhage (UGIH) in severe dengue represents a clinical dilemma in term of management. The recommended treatment in dengue with UGIH involves blood product transfusion support and proton pump inhibitor (PPI) infusion. Despite being the mainstay of treatment in non-dengue UGIH, the role of endoscopic haemostatic intervention in severe dengue remains controversial. In the present report, we present a case of severe dengue complicated with upper gastrointestinal haemorrhage successfully underwent early therapeutic endoscopic intervention in a district hospital.
authors.affiliation: Hospital Segamat, Department of Surgery, KM 6, Jalan Genuang, 85000 Segamat, Johor, Malaysia. chenhong_lim@yahoo.com.
authors.forename: C H
authors.initials: CH
authors.lastname: Lim
authors.affiliation: Hospital Segamat, Medical Department, Johor, Malaysia.
authors.forename: N H S
authors.initials: NH
authors.lastname: Benjamin
authors.affiliation: Hospital Sultanah Aminah, Medical Department, Infectious Disease Unit, Johor Bahru, Johor, Malaysia.
authors.forename: F K
authors.initials: FK
authors.lastname: Kan
mesh_terms: D000368:Aged; D003715:Dengue / Q000150:complications*; D004381:Duodenal Ulcer / Q000209:etiology / Q000601:surgery; D004724:Endoscopy / Q000379:methods; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D006801:Humans