Dengue in a Post PCNL Patient – Vigilance and Sucpiscion Matters

Main Article Content

Sanjay P. Dhangar
Nayanesh Chavan
Niraj More
Manisha Shengal

Abstract

Dengue is a rapidly spreading mosquito-borne viral disease. The spectrum of clinical manifestations ranges from subclinical infections to severe dengue with leaky membranes, haemorrhagic manifestations, shock and organ dysfunction and finally death. Haematuria with fever in a post PCNL setting is a common finding. Severe haematuria require transfusion in around 11.2-17.5% patients and angioembolization in around 0.8% cases. We present a case of haematuria with fever in a young patient who underwent PCNL for partial staghorn calculus. She developed fever on second post-operative day, diagnosed dengue positive on fifth post-operative day, became anuric and went into dengue shock syndrome on sixth post-operative day. She recovered well after haemodialysis and multiple platelet and packed cell transfusion on eleventh post-operative day. We here want to highlight the importance of a multidisciplinary team approach and high level of vigilance and suspicion for dengue when a post-operative PCNL patient develops fever with haematuria.

Keywords:
Haematuria Post-PCNL, dengue in a PCNL patient, fever and haematuria post-PCNL, fever in post-PCNL setting.

Article Details

How to Cite
Dhangar, S. P., Chavan, N., More, N., & Shengal, M. (2020). Dengue in a Post PCNL Patient – Vigilance and Sucpiscion Matters. Asian Journal of Research and Reports in Urology, 3(4), 1-4. Retrieved from https://journalajrru.com/index.php/AJRRU/article/view/30112
Section
Case Report

References

Jayarajah U, Basnayake O, Kavinda Nagodavithane, Jayasinghe J, Samarasekera DN. Atypical presentation of severe dengue in a patient following a major abdominal surgery: A Case Report. Journal of Gastroenterology and Hepatology. 2019;776.

Kumar M, Karthikeyan A, Karthikeyan VS. Dengue shock syndrome after percutaneous nephrolithotomy leading to hematuria and renal failure: A rare complication. Indian J Urol. 2020;36:136-7.

Rawat S, Mehta Y, Juneja R, Trehan N. Dengue fever in a patient recovering from coronary artery bypass grafting. Annals of Cardiac Anaesthesia. 2011;14(2):155.

Weerakkody RM, Patrick JA, Sheriff MHR. Dengue fever in renal transplant patients: A systematic review of literature. BMC Nephrology. 2017;18(1):15.

Kumar S, Pushkarna A, Ganesamoni R, Nanjappa B. Dengue hemorrhagic fever as a rare cause of bleeding following percutaneous nephrolithotomy. Urological Research. 2012;40(2):177–179. Available:https://www.cdc.gov/dengue/healthcare-providers/clinical-presentation.htmlAssessed 05.09.2020.

Available:https://www.cdc.gov/dengue/training/cme/ccm/page47831.html

Michel MS, Trojan L, Rassweiler JJ. Complications in percutaneous nephro-lithotomy. European Urology. 2007;51(4): 899–906.

Aso Omer Rashid, Saman Salih Fakhulddin. Risk factors for fever and sepsis after percutaneous nephrolithotomy. Asian J Urol. 2016;3(2):82–87.

Shakhawan Said HA, Mohammed A Al Kadum Hassan, Rawa HG Ali, Ismaeel Aghaways, Fahmi H. Kakamad, Khalid Q. Mohammad. Percutaneous nephro-lithotomy; alarming variables for postoperative bleeding. Arab J Urol. 2017; 15(1):24–29.

Maurice Stephan Michel, Lutz Trojan, Jens Jochen Rassweiler. Complications in percutaneous nephrolithotomy European Urology; 51(4):899-906.

Han Boon Oh, Vaishnavi Muthu, Zubin J. Daruwalla, Shir Ying Lee, Evelyn S. Koay, Paul A. Tambyah. Bitten by a bug or a bag? Transfusion‐transmitted dengue: A rare complication in the bleeding surgical patient. The Journal of AABB Transfusion; 55(7):1655-1661.