Ng C Y, Lee S L, Foo S L
Hospital Pakar Sultanah Fatimah, Department of Internal Medicine, Muar, Johor, Malaysia.
Hospital Pakar Sultanah Fatimah, Department of Surgery, Muar, Johor, Malaysia.
Med J Malaysia. 2017 Aug;72(4):244-245.
Abdominal pain is one of the common presentations in severe dengue infection. We report a rare case of perforated gastric ulcer in a young man diagnosed with severe dengue infection and the challenges we faced in managing this patient. Perforated gastric ulcer need to be considered if there are signs of peritonitis and persistent abdominal pain that does not conform to the natural history of dengue. Proper imaging and early surgical intervention in perforated gastric ulcer is vital in preventing further complication and reducing the risk of mortality.
腹痛是重症登革热感染的常见症状之一。我们报告了一例罕见的青年男性重症登革热感染合并胃溃疡穿孔病例,以及我们在治疗该患者时所面临的挑战。如果出现腹膜炎体征和不符合登革热自然病程的持续性腹痛,则需要考虑胃溃疡穿孔。对于胃溃疡穿孔,进行适当的影像学检查和早期手术干预对于预防进一步并发症和降低死亡风险至关重要。