Management and diagnostic difficulties of dengue haemorrhagic fever with acute appendicitis: a case report

Dengue fever can mislead the clinician. We discuss a case where a patient presenting with fever and acute abdomen was found to have “dengue haemorrhagic fever with acute appendicitis”. When dengue fever accompanies an acute abdomen, it can cause a diagnostic dilemma. In dengue endemic areas, such as tropical countries, dengue fever is a recognized non-surgical cause of acute abdomen. Our case emphasizes the importance of early diagnosis and careful investigations to exclude other causes of acute abdomen in dengue patients which can pave way to early surgical intervention.