Iberoamerican Journal of Medicine
https://app.periodikos.com.br/journal/iberoamericanjm/article/doi/10.53986/ibjm.2024.0018
Iberoamerican Journal of Medicine
Case Report

Case Report: acute pancreatitis in a patient with dengue fever

Caso clínico: pancreatitis aguda en un paciente con dengue

Jorge C. F. Nakazaki, Angela I. Cotera-Ramón b, Rodrigo G. Medina

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Abstract

Dengue fever is caused by the dengue virus (DENV) and affects over 390 million people yearly. It is prevalent in tropical areas, and warning signs have been established to easily identify patients who need further medical attention. In this article, we report the case of an 18–year–old female patient in Lima, Peru, during a dengue outbreak, presenting with abdominal pain, fever, and gingival bleeding. She tested positive for the NS1 antigen and was also diagnosed with mild acute pancreatitis. It is important to note that DENV infection may lead to acute pancreatitis during outbreaks, which could be underdiagnosed due to symptoms similar to dengue fever.

Keywords

Dengue; Pancreatitis; Abdominal pain

Resumen

La fiebre del dengue es causada por el virus del dengue (DENV) y afecta a más de 390 millones de personas cada año. Es frecuente en zonas tropicales y se han establecido señales de advertencia para identificar fácilmente a los pacientes que necesitan atención médica adicional. En este artículo, reportamos el caso de una paciente de 18 años en Lima, Perú, durante un brote de dengue, que presentó dolor abdominal, fiebre y sangrado gingival. Dio positivo para el antígeno NS1 y también le diagnosticaron pancreatitis aguda leve. Es importante señalar que la infección por DENV puede provocar pancreatitis aguda durante los brotes, que podrían subdiagnosticarse debido a síntomas similares a los del dengue.

Palabras clave

Dengue; Pancreatitis; Dolor abdominal

References

1.Khan MB, Yang ZS, Lin CY, Hsu MC, Urbina AN, Assavalapsakul W, et al. Dengue overview: An updated systemic review. J Infect Public Health. 2023;16(10):1625-42. doi: 10.1016/j.jiph.2023.08.001.
2.Dengue: Guidelines for Diagnosis, Treatment, Prevention and Control: New Edition. Geneva: World Health Organization; 2009.
3.Nakazaki JCF, Cotera-Ramón AI. Assessment of the importance of platelet transfusion in patients with severe dengue: a systematic review. Iberoam J Med. 2024;5(2):69-77. doi: 10.53986/ibjm.2024.0010.
4.Bhatt S, Gething PW, Brady OJ, Messina JP, Farlow AW, Moyes CL, et al. The global distribution and burden of dengue. Nature. 2013;496(7446):504-7. doi: 10.1038/nature12060.
5.Flor MA, Andrade JV, Bucaram JA. Acute Pancreatitis Secondary to Dengue Fever: An Uncommon Presentation of a Common Endemic Illness. Case Rep Infect Dis. 2022;2022:9540705. doi: 10.1155/2022/9540705.
6.Centro Nacional de Epdeimiología, Prevención y Control de Enfermedades. Ministerio de Salud de Perú. Sala Situacional de Dengue. Available from: https://www.dge.gob.pe/sala-situacional-dengue/#gráfico 01 (accessed March 2024).
7.Guzman MG, Gubler DJ, Izquierdo A, Martinez E, Halstead SB. Dengue infection. Nat Rev Dis Primers. 2016;2:16055. doi: 10.1038/nrdp.2016.55.
8.Gubler DJ. Dengue and dengue hemorrhagic fever. Clin Microbiol Rev. 1998;11(3):480-96. doi: 10.1128/CMR.11.3.480.
9.Seetharam P, Rodrigues G. Dengue Fever presenting as acute pancreatitis. Eurasian J Med. 2010;42(3):151-2. doi: 10.5152/eajm.2010.41.
10.Acherjya GK, Tarafder K, Sayeed MA, Ghosh GK, Hossain MJ, Hossain S, et al. Dengue presenting as a case of acute pancreatitis-A rare case report. Clin Case Rep. 2023;11(2):e6926. doi: 10.1002/ccr3.6926.


Submitted date:
04/18/2024

Reviewed date:
06/15/2024

Accepted date:
06/21/2024

Publication date:
06/21/2024

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