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Dengue shock syndrome.

Sreenivasa Rao Sudulagunta1, Mahesh Babu Sodalagunta2, Mona Sepehrar3

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|December 30, 2016
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Summary
This summary is machine-generated.

Dengue shock syndrome (DSS) can cause acute pancreatitis and new-onset diabetes, a rare complication. Early recognition and management are crucial to prevent severe outcomes and improve patient survival.

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Area of Science:

  • Tropical Medicine
  • Infectious Diseases
  • Gastroenterology

Background:

  • Dengue fever is a widespread mosquito-borne viral illness with various abdominal complications.
  • Acute pancreatitis is a recognized but uncommon complication of dengue fever.

Observation:

  • A 30-year-old male presented with severe symptoms and was diagnosed with dengue shock syndrome (DSS).
  • Diagnostic tests including RT-PCR, NS1 antigen, and IgM antibody confirmed dengue infection.
  • Imaging studies (ultrasound and CT scan) revealed acute pancreatitis.

Findings:

  • The patient developed new-onset diabetes mellitus requiring insulin therapy post-recovery from DSS.
  • This case highlights the rare association between DSS, acute pancreatitis, and subsequent diabetes.

Implications:

  • Increased awareness of this rare complication is vital for clinicians managing dengue patients.
  • Prompt diagnosis and management of pancreatitis and diabetes in DSS can reduce morbidity and mortality.
  • Further research into the pathophysiology of dengue-induced pancreatitis and diabetes is warranted.