Department of Gastroenterology, Oita University Faculty of Medicine Graduate School of Medicine, 1-1 Idaigaoka, Hasama, Yufu, Oita, 879-5593, Japan.
Department of Gastroenterology, Almeida Memorial Hospital, Oita, Japan.
Clin J Gastroenterol. 2021 Aug;14(4):1115-1120. doi: 10.1007/s12328-021-01391-w. Epub 2021 Mar 25.
Patients with dengue fever usually present with fever and rash, but non-specific symptoms such as headache, myalgia, arthralgia, and digestive symptoms are sometimes seen. We report a case of dengue fever with digestive symptoms in a patient who traveled to Indonesia. A 35-year-old man presented with fever, diarrhea, headache, and arthralgia. He later developed generalized rash. Dengue fever was clinically suspected from the travel history and confirmed by laboratory tests. He tested positive for anti-dengue virus antibodies, so dengue fever was diagnosed. Dengue fever should be included in the differential diagnosis of patients with digestive symptoms after returning to Japan.
登革热患者通常表现为发热和皮疹,但也会出现头痛、肌痛、关节痛和消化道症状等非特异性症状。我们报告了一例前往印度尼西亚旅行的登革热患者,其出现消化道症状。一名 35 岁男性出现发热、腹泻、头痛和关节痛,随后出现全身皮疹。根据旅行史和实验室检查,临床怀疑为登革热,并通过实验室检查确诊。患者抗登革病毒抗体阳性,因此诊断为登革热。对于返回日本后出现消化道症状的患者,应将登革热纳入鉴别诊断。