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Dengue fever presenting with acute colitis.

A K Rama Krishna1, Shivanand Patil, Grs Srinivas Rao

  • 1Department Of Gastroenterology, Nizam's Institute of Medical Sciences, Panjagutta, Hyderabad, India. ramakappa69@yahoo.co.in

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
|June 10, 2006
PubMed
Summary

Dengue fever rarely causes colitis. This case study details a 50-year-old man with dengue presenting with lower gastrointestinal bleeding and acute inflammatory colitis.

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Area of Science:

  • Infectious Diseases
  • Gastroenterology
  • Virology

Background:

  • Dengue fever commonly presents with hemorrhagic or hepatic manifestations.
  • Gastrointestinal symptoms are recognized but typically not severe.
  • Acute colitis as a primary presentation of dengue is undocumented.

Observation:

  • A 50-year-old male patient was admitted with symptoms suggestive of dengue fever.
  • The patient exhibited significant lower gastrointestinal bleeding.
  • Colonoscopy revealed features consistent with acute inflammatory colitis.

Findings:

  • The patient was diagnosed with dengue fever.
  • Colonoscopic examination demonstrated acute colitis.
  • This represents a rare presentation of dengue fever.

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Implications:

  • Dengue fever can manifest with severe gastrointestinal symptoms beyond typical bleeding or liver issues.
  • Physicians should consider dengue fever in the differential diagnosis of acute colitis, especially in endemic areas.
  • Further research is needed to understand the pathophysiology of dengue-induced colitis.