Compromiso gastrointestinal agudo en pacientes con dengue por serotipo 4: Comunicación de un caso y revisión de la literatura / Acute gastrointestinal involvement in dengue disease by serotype 4: a case report and literature review
Rev. chil. infectol
; 30(5): 541-547, oct. 2013. ilus, tab
Article
in Spanish
| LILACS
| ID: lil-691161
Responsible library:
CL1.1
ABSTRACT
Dengue fever is the world's most important arboviral disease, presenting a wide clinical spectrum. We report for the first time in Peru, a case caused by dengue virus serotype 4 with significant gastrointestinal involvement (acute acalculous cholecystitis and acute hepatitis). In addition we carried out a review of the literature atypical presentation illustrating the importance of the characteristics of abdominal pain (right upper quadrant); presence of Murphy's sign, ultrasound, and liver enzymes levels, for appropriate diagnosis and clinical management.
RESUMEN
El dengue es la arbovirosis más importante del mundo y causa un amplio espectro clínico. Presentamos el primer caso de dengue causado por el serotipo 4 (DENV-4) en Perú con compromiso gastrointestinal (colecistitis aguda alitiásica y hepatitis aguda moderada). Se presenta una revisión de la literatura médica sobre este tipo de presentación, enfatizando la importancia y características del dolor abdominal (hipocondrio derecho), el signo de Murphy, los hallazgos ultrasonográficos y la medición de las enzimas hepáticas para establecer el diagnóstico y manejo adecuado.
Full text:
Available
Collection:
International databases
Health context:
Neglected Diseases
Health problem:
Dengue
/
Neglected Diseases
Database:
LILACS
Main subject:
Dengue
/
Dengue Virus
/
Acalculous Cholecystitis
/
Hepatitis
Limits:
Female
/
Humans
Language:
Spanish
Journal:
Rev. chil. infectol
Journal subject:
Communicable Diseases
Year:
2013
Document type:
Article
/
Project document
Affiliation country:
Peru
Institution/Affiliation country:
Hospital Regional de Loreto/PE