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KMID : 0984720090410040236
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Infection and Chemotherapy
2009 Volume.41 No. 4 p.236 ~ p.239
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Dengue Fever Mimicking Acute Appendicitis: A Case Report
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Kang Yoon-Jung
Choi Sung-Youn
Kang Im-Ju
Lee Jae-Eun
Seo Mi-Hye
Lee Tae-Houn
Ghim Byoung-Kwon
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Abstract
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We experienced a case of enteritis mimicking acute appendicitis in Dengue fever. This is the first case report of such complication in Korea. A 36-year-old man presented with fever and abdominal pain after a trip to the Philippines. He complained of severe pain on the right iliac fossa region. Complete blood cell count showed thrombocytopenia with leucopenia. Computed tomogram (CT) of abdomen and pelvis revealed a normal appendix. Dengue fever was confirmed by IgM capture enzyme-linked immunosorbent assay against dengue virus. During the follow-up period of 4 weeks, he was recovered and platelet count gradually. We can see from this case that dengue fever may present with abdominal pain, which mimics acute appendicitis. Early recognition of dengue fever mimicking appendicitis is important to prevent unnecessary surgical intervention.
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KEYWORD
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Dengue fever, Appendicitis, Abdominal pain
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