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- W4386947479 abstract "A 35-year-old male presented to emergency room in November 2019 with fever and abdominal pain for 8 and 5 days, respectively. He had no known comorbidities or addiction, and was a laborer by profession. The fever had an abrupt onset, documented up to 103.0°F, associated with rigors, body aches, and headaches. After 3 days of fever, he developed pain in the upper abdomen, which was severe (8/10 on the pain scale), piercing, radiating to the back, and aggravated by oral intake. The physical examination showed a conscious patient with sick look, fever (102°F), normal blood pressure (128/76 mm Hg), tachycardia (116 beats per minute), and respiratory rate (19 breaths per minute). Abdominal examination revealed diffuse tenderness especially at in the epigastric area but with no rigidity or guarding was noted. Bowel sounds were normal with no visceromegaly appreciated. Laboratory investigations were normal (including serum triglycerides and calcium profile) except for low platelets (1.06 lac/mL), and elevated serum amylase (936 U/L) and lipase levels (1,399 U/L). Serology for dengue using immunoglobulin M dengue enzyme-linked immunosorbent assay was positive. Ultrasonography of the abdomen revealed a mild amount of left-sided pleural effusion and bulky hyperechoic pancreas (swollen body 1.9 cm). No gallstones were found. Based on these imaging findings and clinical picture, dengue fever with acute pancreatitis (AP) and serositis was diagnosed. He was managed conservatively with intravenous fluids and analgesics He was initially kept on only liquids orally for 48 hours and then started gradually on a soft diet which was tolerated with no worsening of pain. His symptoms were resolved completely after 6 days, he was clinically and vitally stable hence was discharged on the 6th day. On the follow-up visit at 4 weeks, he was found healthy with no late complications." @default.
- W4386947479 created "2023-09-23" @default.
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- W4386947479 date "2022-01-01" @default.
- W4386947479 modified "2023-09-29" @default.
- W4386947479 title "Letter: Dengue Fever Complicated by Acute Pancreatitis" @default.
- W4386947479 cites W2765539993 @default.
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- W4386947479 doi "https://doi.org/10.1055/s-0042-1757396" @default.
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