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Bacterial co-infections have been reported in association with dengue fever (DF) and can exacerbate dengue infections. However, DF with acute respiratory distress syndrome and co-infection with Alcaligenes faecalis (A. faecalis) has not been reported earlier. Most infections caused by A. faecalis are opportunistic. Urinary tract infection, bacterial keratitis, postoperative endophthalmitis, skin and soft tissue infections, bacteremia, meningitis, wound infections, and peritonitis in patients undergoing peritoneal dialysis have been described in association with A. faecalis. A. faecalis, a Gram-negative environmental organism rarely cause significant infections. Treatment can be difficult in some cases due to the high level of resistance to commonly used antibiotics. We report a case of fatal bronchopneumonia caused by extensively drug resistance A. faecalis in a patient of dengue hemorrhagic fever.

Hereditary angioedema (HAE) is a debilitating disorder that can substantially impair quality of life. Three types of HAE are described in literature. Women are particularly prone to attacks due to multiple estrogen-related triggers. Abdominal involvement in angioedema is often a challenge to diagnose. Recurrent or acute onset abdominal pain can be the only presenting symptom, and misdiagnosis may lead to unnecessary surgical intervention. Clinicians need to be familiar with the types and presentations of the various types of angioedema. The knowledge about new, effective, and safe therapies, along with an increased awareness of HAE and its related concerns should help clinicians in providing optimal treatment to their patients and avoid unnecessary surgical interventions. We report a sporadic nonfamily case of HAE type III presenting as recurrent abdominal pain with intestinal obstruction in women with primary infertility.