MAN 25 YO WITH 3 DAYS FEVER AND EPIGASTRIC DISTENTION.
ULTRASOUND FIRST :
US 1: HEPATOMEGALY.
US 2: GALL BLADDER WALL IS THICKENING 3 MM NO STONE.
US 3: FLUID IN MORRISON SPACE ( LIVER KIDNEY SPACE).
US 4: FLUID AROUND RIGHT KIDNEY.
US 5: IN PELVIS BIG VOLUME OF ASCITES.
US 6: NORMAL SPLEEN WITH FLUID IN HILUS.
CHEST X-RAYS SHOWS SMALL FLUID IN COSTO-PLEURAL SPACE.
BLOOD TESTS SHOW WBC HIGH, CRP HIGH PLATTELETS DROPPED TO 19K.
ELISA DENGUE FEVER TESTS POSITIVE FOR IgG AND IgM.
EMERGENCY ADMISSION IN INFECTIOUS TROPICAL HOSPITAL.