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Dengue hemorrhagic fever as a rare cause of bleeding following percutaneous nephrolithotomy

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Abstract

Post percutaneous nephrolithotomy (PNL) bleeding is an uncommon yet serious complication and is almost always related to a surgical cause. Nevertheless, medical cause of bleeding is rarely encountered as a cause of this dangerous complication. Dengue has been rarely reported as a cause of post operative bleeding. Bleeding diathesis in dengue occurs not only due to thrombocytopenia but also due to dysfunctional surviving platelets and increased fibrinolysis. We report a patient who developed bleeding after an uneventful PNL due to dengue hemorrhagic fever. Medical causes of bleeding such as locally endemic viral hemorrhagic fevers should also be kept in mind and evaluated especially when a surgical cause of the bleed is not found or suspected in bleeding after any surgery.

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References

  1. Kessaris DN, Bellman GC, Pardalidis NP, Smith AD (1995) Management of hemorrhage after percutaneous renal surgery. J Urol 153:604

    Article  PubMed  CAS  Google Scholar 

  2. Gupta M, Bellman GC, Smith AD (1997) Massive hemorrhage from renal vein injury during percutaneous renal surgery: endourologic management. J Urol 157:795

    Article  PubMed  CAS  Google Scholar 

  3. Tan FL, Loh DL, Prabhakaran K, Tambyah PA, Yap HK (2005) Dengue hemorrhagic fever after living donor renal transplantation. Nephrol Dial Transplant 20:447–448

    Article  PubMed  Google Scholar 

  4. Chhabra A, Malhotra N (2006) Anesthetic management of a pregnant patient with dengue hemorrhagic fever for emergency cesarean section. Int J Obstet Anesth 15(4):306–310

    Article  PubMed  CAS  Google Scholar 

  5. Tripathi P, Kumar R, Tripathi S, Tambe JJ, Venkatesh V (2008) Descriptive epidemiology of dengue transmission in Uttar Pradesh. Indian Pediatr 45(4):315–318

    PubMed  Google Scholar 

  6. Vijayakumar TS, Chandy S, Sathish N, Abraham M, Abraham P, Sridharan G (2005) Is dengue emerging as a major public health problem? Indian J Med Res 121(2):100–107

    PubMed  CAS  Google Scholar 

  7. Rothman AL (2004) Dengue: defining protective versus pathologic immunity. J Clin Invest 113:946–951

    PubMed  CAS  Google Scholar 

  8. Morens DM, Halstead SB (1990) Measurement of antibody dependent infection enhancement of four dengue virus serotypes by monoclonal and polyclonal antibodies. J Gen Virol 71:2909–2914

    Article  Google Scholar 

  9. Tai DYH, Chee YC, Chan KW (1999) The natural history of dengue illness based on a study of hospitalised patients in Singapore. Singap Med J 40:238–242

    CAS  Google Scholar 

  10. Guilarde AO, Turchi MD, Siqueira JB Jr, Feres VC, Rocha B, Levi JE, Souza VA, Boas LS, Pannuti CS, Martelli CM (2008) Dengue and dengue hemorrhagic fever among adults: clinical outcomes related to viremia, serotypes, and antibody response. J Infect Dis 197(6):817–824

    Article  PubMed  Google Scholar 

  11. Diaz-Quijano FA, Villar-Centeno LA, Martinez-Vega RA (2010) Predictors of spontaneous bleeding in patients with acute febrile syndrome from a dengue endemic area. J Clin Virol 49(1):11–15

    Article  PubMed  Google Scholar 

  12. Marraffa J, Guharoy R, Duggan D, Rose F, Nazeer S (2003) Vancomycin-induced thrombocytopenia: a case proven with rechallenge. Pharmacotherapy 23(9):1195–1198

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Urology, Postgraduate Institute of Medical Education and Research, 160012, Chandigarh, India

    Santosh Kumar, Arawat Pushkarna, Raguram Ganesamoni & Bhuvanesh Nanjappa

Authors
  1. Santosh Kumar
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  2. Arawat Pushkarna
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  3. Raguram Ganesamoni
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  4. Bhuvanesh Nanjappa
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Correspondence to Santosh Kumar.

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Kumar, S., Pushkarna, A., Ganesamoni, R. et al. Dengue hemorrhagic fever as a rare cause of bleeding following percutaneous nephrolithotomy. Urol Res 40, 177–179 (2012). https://doi.org/10.1007/s00240-011-0394-6

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  • DOI: https://doi.org/10.1007/s00240-011-0394-6

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