{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T16:12:35Z","timestamp":1793376755715,"version":"4.5.0"},"reference-count":7,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,1,15]],"date-time":"2024-01-15T00:00:00Z","timestamp":1705276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:p>Dengue fever (DF) primarily presents with fever, headache, malaise, bleeding manifestations and haemoconcentration. World Health Organization (WHO) classifies DF according to levels of severity: (a) without warning signs; (b) with warning signs, such as abdominal pain, persistent vomiting, fluid accumulation, mucosal bleeding, lethargy, liver enlargement, increasing haematocrit and thrombocytopenia; and (c) severe dengue with severe plasma leakage, severe bleeding or organ failure. Atypical clinical presentations of DF are defined as expanded dengue syndrome: this includes renal, cardiac, hepatic or cerebral damage. We report such a severe case where a young man developed acute kidney injury, acute fulminant liver failure and acute pancreatitis secondary to DF, but recovered.<\/jats:p>","DOI":"10.1177\/00494755231224493","type":"journal-article","created":{"date-parts":[[2024,1,15]],"date-time":"2024-01-15T22:12:37Z","timestamp":1705356757000},"page":"179-181","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["A curious case of expanded dengue syndrome"],"prefix":"10.1177","volume":"54","author":[{"given":"Muzeer","family":"Ahmed","sequence":"first","affiliation":[{"name":"Resident, Department of Internal Medicine, Indus Hospital and Health Network, Karachi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad Arsalan","family":"Wasim","sequence":"additional","affiliation":[{"name":"Resident, Department of Internal Medicine, Indus Hospital and Health Network, Karachi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4009-019X","authenticated-orcid":false,"given":"Abdul Nafey","family":"Kazi","sequence":"additional","affiliation":[{"name":"Resident, Department of Internal Medicine, Indus Hospital and Health Network, Karachi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiba","family":"Akber","sequence":"additional","affiliation":[{"name":"Resident, Department of Internal Medicine, Indus Hospital and Health Network, Karachi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maheen","family":"Sheikh","sequence":"additional","affiliation":[{"name":"Resident, Department of Internal Medicine, Indus Hospital and Health Network, Karachi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad Junaid","family":"Patel","sequence":"additional","affiliation":[{"name":"Professor, Department of Internal Medicine, Indus Hospital and Health Network, Karachi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,1,15]]},"reference":[{"key":"bibr1-00494755231224493","first-page":"57","volume":"3","author":"Lizarraga KJ","year":"2014","journal-title":"J Nephropathol"},{"key":"bibr2-00494755231224493","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2010.02.008"},{"key":"bibr3-00494755231224493","doi-asserted-by":"publisher","DOI":"10.5582\/irdr.2017.01071"},{"key":"bibr4-00494755231224493","doi-asserted-by":"publisher","DOI":"10.1086\/392510"},{"key":"bibr5-00494755231224493","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.16-0374"},{"key":"bibr6-00494755231224493","doi-asserted-by":"publisher","DOI":"10.2147\/HMER.S263840"},{"key":"bibr7-00494755231224493","volume":"153","author":"da Silva-Voorham JM","year":"2009","journal-title":"Ned Tijdschr Geneeskd"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755231224493","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00494755231224493","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755231224493","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:36:05Z","timestamp":1777642565000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00494755231224493"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,15]]},"references-count":7,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1177\/00494755231224493"],"URL":"https:\/\/doi.org\/10.1177\/00494755231224493","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,15]]}}}