Dengue Hemorrhagic Fever - An Unusual Presentation

Abstract

Dengue fever is the most rapidly spreading mosquito born viral disease in the world. It is   caused by dengue virus (DENV), an arbovirus belonging to family Flaviviridae. Cytokine medaiated transient capillary leak plays a major roll in its presentation. Even though various mechanisms have been proposed, none of them explains its presentation perfectly. Here we are presenting the case of a 64 year old man who presented as constipation and urinary retention   and was diagnosed as dengue hemorrhagic fever (DHF). Thorough literature search revealed no other case of DHF with intra-abdominal hematoma which presented with constipation.