Existence of acute pancreatitis as a complication of dengue: a case report and literature review

Abstract

Dengue is an endemic viral infection in tropical regions, characterized by fever, myalgia, rash, and thrombocytopenia. Although most cases follow a favorable clinical course, severe complications may arise during the critical phase. Among these, acute pancreatitis is a rare but important manifestation. We present the case of a young woman with laboratory-confirmed dengue infection who, during the critical phase, developed intense and persistent abdominal pain. Laboratory tests revealed a marked elevation of pancreatic enzymes, and imaging studies confirmed the diagnosis of acute pancreatitis. She was managed conservatively with bowel rest, intravenous fluids, and analgesia, resulting in a favorable outcome without the need for invasive interventions. This case highlights the importance of considering acute pancreatitis as a potential complication in patients with dengue who present with severe abdominal pain. Early recognition and appropriate supportive treatment are essential to reduce morbidity and ensure a positive clinical outcome in such cases.