American Journal of Emergency Medicine xxx (2014) xxx

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Correspondence

Acute abdominal pain and dengue fever References

To the Editor, Sir, the report on acute abdominal pain and dengue fever is quite interesting [1]. In fact, the atypical presentation of dengue can be seen and this can be sometimes difficult to diagnose [2]. Focusing on abdominal pain, it is not an uncommon presentation. According to a recent report from Brazil [3], Pires et al. noted that “fever, abdominal pain and vomiting” were the three main clinical presentations of dengue fever. Durán et al. reported that abdominal pain was very common in severe dengue case [4]. Hence, the case of dengue presenting with abdominal pain is not an unusual case at all. With expanding endemic area of dengue, dengue should be a differential diagnosis in an emergency case presenting with abdominal pain.

[1] Waseem T, Latif H, Shabbir B. An unusual cause of acute abdominal pain in dengue fever. Am J Emerg Med 2014 pii: S0735–6757(14)00017–5. doi: 10.1016/j. ajem.2014.01.011. [Epub ahead of print]. [2] Wiwanitkit V. Dengue fever: diagnosis and treatment. Expert Rev Anti Infect Ther 2010;8(7):841–5. [3] Pires RD, Neto L, Sá SL, Pinho SC, Pucci FH, Teófilo CR, et al. Dengue infection in children and adolescents: Clinical profile in a reference hospital in northeast Brazil. Rev Soc Bras Med Trop 2013;46(6):765–8. [4] Durán A, Ochoa E, Alcocer S, Gómez M, Millano M, Martínez O, et al. Frequency of gastrointestinal signs and symptoms of dengue. Analysis of a cohort of 1484 patients. Invest Clin 2013 Sep;54(3):299–310.

Viroj Wiwanitkit Surin Rajabhat University Surin Province, ThailandSurin Rajabhat UniversitySurin ProvinceThailand E-mail address: [email protected] http://dx.doi.org/10.1016/j.ajem.2014.03.012

0735-6757/© 2014 Elsevier Inc. All rights reserved.

Please cite this article as: Wiwanitkit V, Acute abdominal pain and dengue fever, Am J Emerg Med (2014), http://dx.doi.org/10.1016/j. ajem.2014.03.012

Acute abdominal pain and dengue fever.

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