Dengue fever associated with acute scrotal oedema

K Jagadish Kumar,C Anitha,M Santhoshkumar,B Nataraj

doi:10.4038/sljch.v44i3.8021

K Jagadish Kumar, C Anitha + Show 2 more

Open Access

https://doi.org/10.4038/sljch.v44i3.8021

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Abstract

A 10-year-old boy presented with fever since 7 days, headache and body aches since 3 days. Examination revealed stable vitals, facial flushing and puffiness and soft tender hepatomegaly. The haemoglobin level was 10.8g/dl, total leucocyte count 8,200/cu mm, haematocrit 37% and platelet count 214,000/cu mm. His platelet counts started dropping down day by day to reach a nadir of 17,000/cu mm. He developed hypotension during the course and was managed with intravenous Ringer lactate. His blood and urine cultures were sterile. He was positive for Dengue NS1 antigen and IgM anti dengue antibodies by ELISA. His Widal test, Weil-Felix and peripheral smear for malarial parasite were negative. His kidney function tests were normal. Ultrasonography revealed a 3.5 mm gall bladder wall thickening with pericholecystic fluid, ascites and right pleural effusion. He became afebrile on the 4 day of admission and developed bilateral non tender, erythematous scrotal swelling (Figure 1 A).

Highlights

Hydrocele, more on the left side with oedematous enlarged left epididymis measuring 11 x 6 mm and right epididymis measuring 7 x 4 mm
acute idiopathic scrotal edema (AISE) is one of the important differential diagnoses in children presenting with an acute scrotum and it accounts for 20–30% of acute scrotal disorders[1]
Acute scrotal swelling associated with dengue fever is a rare and self-limiting condition, which resolves in a few days without any complications[1,3]

Summary

Introduction

Hydrocele, more on the left side with oedematous enlarged left epididymis measuring 11 x 6 mm and right epididymis measuring 7 x 4 mm. On the same day his platelet count was 25,000/cu mm. Sonography revealed 5 mm bilateral scrotal wall thickening due to oedema (Figure 1 B), bilateral 1Professor of Paediatrics, 2Assistant Professor of Radiodiagnosis, 3Associate Professor of Paediatrics, 4Assistant Professor of Pediatrics, JSS Medical College, JSS University, Mysore, India *Correspondence: jagdishmandya@gmail.com

Results

Conclusion