RESUMO
Patients with dengue fever usually present with typical symptoms such as fever, frontal headache, retro-ocular pain, myalgia, arthralgia, nausea, vomiting, rash, leucopaenia and thrombocytopaenia. However, they can also manifest with atypical symptoms. Acute acalculous cholecystitis is an atypical manifestation of dengue fever. In dengue endemic areas such as Brunei Darussalam, it is imperative that typical and atypical presentations of dengue fever are recognised so that early diagnosis can be made. We report a case of an 18-year-old Malay lady who presented with fever, cough, abdominal pain, and generalised myalgia. She was found to have acute acalculous cholecystitis secondary to dengue fever.
RESUMO
(Refer to page 132) Answer: Cholecystectomy clips, Spinal prosthesis: Pedicle screws and rods on T12 and L2, Charm needles (susuk): >20 needles (Supplementary text for magnified image from journal website). Charm needles or more commonly known as ‘susuk’ in the Malay language are seen as these multiple fine small needles as shown on the above radiography. Charm needles are usually found as incidental findings on radiographs and can be easily missed. 1, 3, 4 A study has shown that charm needles have no ferromagnetic characteristics and thus are safe for magnetic resonance imaging (MRI). 3
RESUMO
A 62-year-old Malay lady presented with lower abdominal pain and constipation. An abdominal radiograph was ordered and the film is shown above. What are the foreign bodies seen? Answer: refer to page 154 Images of Interest Brunei Int Med J. 2010; 6 (3): 132 Correspondence author: