Dengue fever mimicking acute appendicitis.

摘要: We report 12 patients [5 males, mean age 28 years (SD 4.6)] presenting with clinical features suggestive of acute appendicitis who were later diagnosed as having dengue fever (DF). Seven admitted to hospital by surgeons and then referred physicians due thrombocytopenia (one them following appendicectomy). Five medical wards abdominal pain. The time from onset pain was 2.2 d 0.9). Clinical included: right iliac fossa tenderness in patients, rebound nine, vomiting erythematous rash eight, arthralgia/myalgia headache six, diarrhea three palatal petechiae three. All had C-reactive protein <12mg/l, DF confirmed serologically. Leucocytopenia occurred the third or fourth day illness all patients. free fluid around appendix on ultrasound. duration symptoms signs 1.8 1.3). may present dengue-endemic areas. A carefully obtained history, examination a full blood count done help differentiate bacterial appendicitis.