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A Rare Case of Dengue Fever Complicated by Hepatitis and Pancreatitis: Expanded Dengue Syndrome

Dengue is a vector borne disease which is one of the major public health problems caused by dengue virus which has 4 serotypes (DENV 1-4) and the vector being Aedes mosquito which has varied clinical manifestations. This report is about a previously healthy 32-year-old male patient that complained of fever, pain abdomen and jaundice for 1 week. On investigation, the patient tested positive for dengue NS1 antigen with raised liver enzymes. As the disease progressed, the pain of abdomen aggravated, radiating to the back and developed constipation with raised serum amylase and lipase. The patient was treated for both acute hepatitis and pancreatitis accordingly and responded to the treatment and gradually improved. Hence, it was thought that common dengue should be ruled out as a cause of Acute Hepatitis or Pancreatitis, depending on the incidence of dengue in that area.