Acute ascites as a clinical manifestation of dengue: A case report

Rationale: Dengue is an important tropical disease that can cause acute hemorrhagic fever. Other atypical clinical presentations of dengue also can occur, and acute ascites is one of them. Patients' concern: A 47-year-old male patient was referred to the physician with acute abdominal extension for 2 days. He revealed a history of fatigue and right upper abdominal pain in the past 4 days. Diagnosis: Dengue-induced acute ascites. Intervention: Standard fluid replacement therapy. Outcome: The clinical finding of the patient returned to normal within 5 days. Lesson: Since dengue has been expanding its endemic area at present, an atypical clinical presentation is possible and should not be ignored in the process of diagnosis. In addition, the clinical presentation of acute distention of abdomen with abnormal petechiae is a good diagnostic implication for dengue-induced ascites.