Abstract
Sri Lanka Journal of Medicine is the official journal of the Kandy Society of Medicine. It is a peer-reviewed journal currently published biannually. Original articles, reviews, brief reports, case reports, points of view, and letters to the editor, in all fields of medical science and practice are accepted for publication.The Sri Lanka Journal of Medicine is now indexed in DOAJ
Highlights
Dengue fever (DF) is a mosquito-borne endemic disease affecting America, South-East Asia, and Western Pacific regions[1]
Dengue haemorrhagic fever (DHF) may result in different complications of which acute pancreatitis (AP) is a less common one[2]
We present a case report of DHF which led to AP
Summary
Dengue fever (DF) is a mosquito-borne endemic disease affecting America, South-East Asia, and Western Pacific regions[1]. As the liver enzymes were deranged paracetamol was given rectally for fever She was already in the critical phase of DHF on admission and the blood pressure was maintained by careful administration of IV fluid. The day, she experienced intractable vomiting and her abdominal pain became severe. She was managed conservatively with IV fluids, ceftriaxone, tramadol, esomeprazole and ondansetron She had a transient period of acute kidney injury (AKI) evidenced by raised creatinine on the second day of admission (1.8 mg/dl from 1.2 mg/dl on admission) and reduced urine output of 200 ml over six hours with normal arterial blood gas analysis. The course of her illness is depicted in figure 1
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