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As a case reported by Thushara matthisaet al. In a study by Verma et al. Thus, the disease symptoms can manifest as neurological disorders. The atypical manifestations include quadriplegia, seizure, headache, aseptic meningitis, encephalitis, mononeuropathy and Guillain-Barre Other manifestations found in dengue can be renal dysfunction as reported by Vasanwala et al. His urine protein level was at nephrotic syndrome with hematuria and Cast 5. Moreover, the disease may Woman seeking sex in montana accompanied by a variety of other symptoms including acute abdomen.

In a case reported by Al-Araimi Attractive women in sabzewar al. Examinations only showed generalized tenderness without abdomen guarding and other things have been reported normal in examinations. Through performing other examinations and laboratory tests in addition to WHO criteria, the patient was suspected of dengue fever. After serological evaluation, l gm was positive. Furthermore, dengue disease may manifest with gastrointestinal symptoms which may make diagnosis and treatment difficult and wrong. Thus, this disease should be considered in differential diagnosis of acute abdomen.

Based on reported cases in different countries, it can be said that dengue can appear anywhere in the world with diverse and deadly symptoms. As time goes by, the world is facing warmer climate, more draught and stagnant waters, all being good conditions for mosquito breeding, thus a better understanding of this fever seems necessary. Iran has a hot and dry climate at which many dengue transmitter mosquitoes can live for example, stagnant and dirty water in car wheels and flower pots, etc. Therefore, dengue can be considered as a treat in Iran; complete recognition and early diagnosis can be helpful in promoting public health and reducing dengue treatment costs.

Acknowledgements I appreciated Dr Masoud Ebrahimi and Dr Hanieh Bashi Zadeh Fakhar for help us to complete our research and also, thank to all the other people and staff in hospital and at university. Alireza Abadi was executor of the article. Masoud Ebrahimi introduced case report and edited the article, and Alireza Abadi was author and presenter of the article. Haniyeh Bashizadeh-Fakhar submitted and edited the article. Elaheh Fahimi wrote and edited the article. There is no conflict of interest in this research. Sabzevar University of Medical Sciences. We then followed him into the hotel room and what happened next was really crass.

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