Ultrasound Int Open 2017; 03(04): E165
DOI: 10.1055/s-0043-119418
Letter to the Editor
© Georg Thieme Verlag KG Stuttgart · New York

Letter to Editor Commenting on "Patterns of Gall Bladder Wall Thickening in Dengue Fever"

Beuy Joob
1  Sanitation 1 Medical Academic Center, Bangkok Thailand
Viroj Wiwanitkit
2  Visiting professor, Hainan Medical University, China
› Author Affiliations
Further Information

Publication History

received 14 June 2017
revised 14 June 2017

accepted 12 August 2017

Publication Date:
07 December 2017 (online)

Letter to the Editor: Patterns of Gall Bladder Wall Thickening in Dengue Fever: A Mirror of the Severity of Disease

Dear Editor,

Parmar et al. reported an interesting finding in “Patterns of Gall Bladder Wall Thickening in Dengue Fever” and implied a relationship with the severity of dengue [1]. Parmar et al. noted that “the uniform echogenic pattern was found to be more prevalent in dengue fever without warning signs, while the honeycomb pattern was found to be more prevalent in severe dengue fever” [1]. Indeed, the gall bladder problem in dengue is possible but is rarely mentioned. The investigation of abnormality of the hepatobiliary tract usually yields positive findings and confirms the problem in dengue patients [2]. Nevertheless, the confounding factors that might lead to the change in gall bladder are possible and this has to be carefully considered. In tropical areas in which dengue fever is endemic, there are several tropical infections including hepatitis and hepatobiliary parasitosis that might lead to an abnormal gall bladder. Some abnormal gall bladder patterns, such as thickening, might be unlikely to occur in the short period of acute febrile illness of dengue.