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.

中文翻译：

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扩展登革热综合症的奇怪病例

登革热（DF）主要表现为发烧、头痛、不适、出血表现和血液浓缩。世界卫生组织 (WHO) 根据严重程度对 DF 进行分类： (a) 无警告信号；(b) 有警告症状，例如腹痛、持续呕吐、积液、粘膜出血、嗜睡、肝脏肿大、血细胞比容增加和血小板减少；(c) 严重登革热并伴有严重血浆渗漏、严重出血或器官衰竭。DF 的非典型临床表现被定义为扩大登革热综合征：包括肾、心脏、肝或脑损伤。我们报道了这样一个严重的病例，一名年轻人出现了急性肾损伤、急性暴发性肝衰竭和继发于 DF 的急性胰腺炎，但后来康复了。