Management of Abdominal Pain in Dengue Fever

Diagnostic Approach

Laboratory evaluation should include complete blood count with particular attention to platelet count, liver function tests, and comprehensive metabolic panel to assess organ function, as recommended by the World Health Organization 1
Imaging considerations, such as ultrasonography and CT scan with IV contrast, may be necessary if serious pathology is suspected, but should be used judiciously, according to the Centers for Disease Control and Prevention 2

Careful intravenous fluid resuscitation is essential, especially in patients with warning signs or evidence of plasma leakage, as recommended by the World Health Organization 3
Monitor for signs of fluid overload or inadequate resuscitation, and avoid NSAIDs due to increased bleeding risk in dengue patients with thrombocytopenia, as advised by the American Society of Tropical Medicine and Hygiene 3

Monitor vital signs, urine output, and hematocrit regularly to detect early signs of shock, and perform daily complete blood count to monitor platelet trends and hematocrit, as recommended by the International Society for Infectious Diseases 3