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Gastrointestinal spectrum of dengue fever in a dengue epidemic
 
Indrajeet Kumar Tiwary1, Avijit Das2, Mahesh Kumar Goenka3
1Consultant Gastrointestinal intensivist, Institute of Gastrosciences, Apollo Gleneagles Hospital Kolkata. 2Registrar, Institute of Gastrosciences, Apollo Gleneagles Hospital Kolkata. 3Director and Head, Institute of Gastrosciences, Apollo Gleneagles Hospitals, Kolkata.


Corresponding Author
:
Indrajeet Kumar Tiwary
Email: tiwaryindrajeet@yahoo.co.in


Abstract

Background: Every year thousands of individuals are affected by dengue viral infections in India. It has been a major public health problem in our country, in view of fatal outbreaks in the last few decades. In addition to classical clinical features, dengue may manifest with various atypical complications. 
Methods: We did a cross-sectional study on 35 patients in our gastroenterology department during the dengue epidemic which occurred in 2013-2014.
Results: During this period a total of 219 patients were admitted in our hospital. The objective was to study the gastrointestinal (GI) Spectrum of dengue fever  in a tertiary care centre with special focus on atypical presentation. We found 15.9% (35 out of 219 patients) of the patients diagnosed as dengue with GI manifestations such as cholecystitis, hepatitis, appendicitis and pancreatitis. 
Conclusion: Dengue fever presents with a myriad of gastrointestinal manifestations which include hepatitis, cholecystitis, pancreatits and appendicitis.