DHF with complication of acute pancreatitis related hyperglycemia: a case report.

DHF is endemic in Indonesia, with incidence of 9.72/100,000 population and CFR of 2.5%. Acute pancreatitis is a rare complication in DHF, usually without hyperglycemia. We report here 1 patient of DHF grade II with complication of acute pancreatitis, and hyperglycemia which occured as a result of pancreatitis. A 24 years old female was referred from Santa Jusuf Hospital, with 5 days of fever and hematemesis. On physical examination we found slight fever and hematoma on her left leg. Laboratory examination revealed Hb 13.4 g%, WBC 8,500/mm3, Ht 42%, platelets 22,500/mm3, amylase 317 U/l, lipase 1,198 U/l and blood glucose 397 mg%. CT scan result of pancreas was consistent with acute pancreatitis. Diagnosis of dengue infection was made after the finding of positive IgM and IgG for dengue virus. After 18 days clinical symptoms and signs and laboratory results returned to normal.

Concurrent dengue hemorrhagic fever and typhoid fever infection in adult: case report.

In Indonesia as well as in many developing countries both typhoid fever and dengue hemorrhagic fever (DHF) are still endemic and prevalent. In Indonesia the incidence of DHF in 1994 was 9.72/100,000 population with CFR of 2.5% and each year about 640,000-1,500,000 cases of typhoid fever were reported with mortality of 1.6-3%. The concurrent infection of both diseases may occur in one patient.