Related Experiment Video
Updated: Jul 7, 2026
03:27
The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation
Published on: January 31, 2025
Dengue fever presenting as acute acalculus cholecystitis
Vismit P Joshipura1, Harshad N Soni, Nitin R Patel
1Department of GI and Laparoscopic Surgery, Sterling Hospital, Ahmedabad.
Journal of the Indian Medical Association
|February 1, 2008
Summary
Dengue fever, typically causing fever and muscle pain, can also present with acute acalculous cholecystitis. This case study highlights dengue as a cause of gallbladder inflammation, successfully managed conservatively.
Area of Science:
- Infectious Diseases
- Gastroenterology
- Hepatology
Background:
- Dengue fever is a mosquito-borne viral illness endemic in tropical and subtropical regions.
- Classical dengue fever symptoms include fever, headache, myalgia, and rash.
- Acute acalculous cholecystitis (AAC) is gallbladder inflammation without gallstones, often seen in critically ill patients.
Observation:
- A patient presented with symptoms and signs consistent with acute acalculous cholecystitis.
- The patient also exhibited classical symptoms of dengue fever.
- Diagnostic workup included serology and ultrasound examination.
Findings:
- Serological tests confirmed dengue infection as the underlying cause of the patient's condition.
- Ultrasound findings were indicative of acute acalculous cholecystitis.
- The patient's gallbladder inflammation was attributed to dengue fever.
Implications:
- This case expands the spectrum of clinical presentations of dengue fever.
- It suggests that dengue virus infection should be considered in the differential diagnosis of acute acalculous cholecystitis, especially in endemic areas.
- Conservative management was effective for dengue-associated acute acalculous cholecystitis in this patient.
Related Concept Videos
01:20Cholecystitis
Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
01:25Acute Pancreatitis I: Introduction
Acute pancreatitis is the sudden inflammation of the pancreas caused by the early activation of digestive enzymes, leading to the autodigestion of pancreatic tissue. This results in local inflammation and, in severe cases, systemic complications.EtiologyUnderstanding the underlying causes is crucial, as identifying the etiology guides treatment and anticipates complications. Acute pancreatitis can be triggered by various factors, typically grouped into the following clinical categories.Biliary...
01:27Acute Pancreatitis I: Introduction
Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
01:30Acute Pancreatitis II: Clinical Manifestations and Management
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
01:28Acute Pyelonephritis II: Diagnostic Studies and Management
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
01:21Acute Pancreatitis II: Pathophysiology
The pathophysiology of acute pancreatitis centers on injury to pancreatic acinar cells, which initiates a cascade of harmful intracellular events.This injury leads to premature activation of trypsinogen to trypsin in the pancreas. Trypsin then activates other digestive enzymes, such as chymotrypsin, elastase, and phospholipase A2, which begin breaking down pancreatic tissue. The resulting autodigestion causes local inflammation, tissue swelling, hemorrhage, and fat necrosis.Injured acinar cells...