DOI: http://dx.doi.org/10.18203/2349-3933.ijam20170923

Acute acalculous cholecystitis in dengue fever patients

Manish Chandey, Harjot Kaur, Sukhjeet Kaur

Abstract


Background: Dengue fever is an acute febrile illness characterized by frontal headache, retro ocular pain, muscle and joint pain, nausea, vomiting and rash. Frequent sonographic findings in a case of dengue include thickened gall bladder with pericholecystitic fluid, ascites, spleenomegaly and pleural effusion which is commonly right sided.

Methods: 540 patients of confirmed dengue fever were subjected to ultrasonography abdomen to find the incidence of acalculous cholecystitis for diagnostic and prognostic significance.

Results: Acalculous cholecystitis was detected in 210 patients (38.88%) of confirmed dengue fever. Patients developing acalculous cholecystitis recovered with conservative treatment only though the hospital stay was prolonged in these patients.

Conclusions: In dengue fever patients, acute acalculous cholecystitis is not uncommon and is usually self-limiting and resolves with conservative management only. Role of ultrasonography has a supporting role in dengue fever for prognostic and diagnostic significance.


Keywords


Acalculous cholecystitis, Dengue fever

Full Text:

PDF

References


Khan E, Siddiqui J, Shakoor S, Mehraj V, Jamil B, Hasan R. Dengue outbreak in Karachi, Pakistan, 2006: experience at atertiary care centre. Trans R soc Trop Med Hyg. 2007;101:1114-9.

Halstead SB. Dengue hemorrhagic fever: a public health problem and a field for research. Bull. 1980;581:1-21.

Kalayanarooj S, Vaughn DW, Nimmannitya S, Green S, Suntayakorn S, Kunentrasai N, et al. Early clinical and laboratory indicators of acute dengue illness. J Infect Dis. 1997;176:313-21.

Cobra C, Rigau PZ, Kuno G, Vorndam V. Symptoms of dengue fever in relation to host immunologic response and virus serotype, Puerto Rico,1990-1991. Am J Epidemiol. 1995;142:1204-11.

Sood A, Midha V, Sood N, Kausha V. Acalculuos cholecysytitis as an atypical presentation of dengue fever. Am J Gastroenterol. 2000;95(2):3316-7.

George R, Liam CK, Chua CT, Lam SK, Pam T, Geethan R, et al. Unusual clinical manifestations of dengue virus infection. South east Asian J Trop Med Public Health. 1988;19:585-90.

Nimmannitya S, Thisyakorn U, Hemrichant V. Dengue haemorrhagic fever with unusual manifestations. South East Asian J trop Med. 1987;18:398-406.

Venkata PM, Krishnan R. Role of ultrasound in dengue fever. British J Radiol. 2005;78:416-8.

Thulkar S, Sharma S, Shrivastva DN, Sharma SN, Berry M. Sonography findings in grade III dengue hemorrhagic fever in adults. J Ultraosound. 2000;28(1):34-7.

Wu KL, Chang CCS, Kuo CH. Early abdominal sonographic findings in patients with dengue fever. J Clin Ultrasound. 2004;32(8):386-8.

Prasad A, Yasmeen M, Prasad GS. Study of acute acalculuos cholecystitis as an atypical manifestation in dengue fever. Int J Med Sci Public Health. 2015;4:1231-4.

Gulati S, Maheshwari A. Atypical manifestations of dengue. Trop Med Int Health. 2007;12(9):1087-95.

Shapiro MJ, Luchtefeld WB, Kurzweil S, Kaminski DL, Durham RM, Mazuski JE. Acute acalculuos cholecystitis in the critically ill. Am Surg. 1994;60:335-9.

Gubler DJ, Kun G, Sather GE, Velez M, Oliver A. Mosquito cell cultures and specific monoclonal antibodies in surveillance for dengue virus. Am J Trop Med Hyg. 1984;33:158-65.