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LETTER TO EDITOR
Year : 2016  |  Volume : 32  |  Issue : 3  |  Page : 251
 

Hematuria among dengue patients: A note on observation


1 RV Medical Center, Bangkok, Thailand
2 Hainan Medical University, China

Date of Web Publication1-Jul-2016

Correspondence Address:
Won Sriwijitralai
RV Medical Center, Bangkok
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.185102

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How to cite this article:
Sriwijitralai W, Wiwanitkit V. Hematuria among dengue patients: A note on observation. Indian J Urol 2016;32:251

How to cite this URL:
Sriwijitralai W, Wiwanitkit V. Hematuria among dengue patients: A note on observation. Indian J Urol [serial online] 2016 [cited 2019 Nov 12];32:251. Available from: http://www.indianjurol.com/text.asp?2016/32/3/251/185102


Dear Editor,

Among the many causes of hematuria, bleeding disorders are an important cause. Infection-induced bleeding disorders that cause hematuria include Dengue, a specific viral infection. In 2015, we recorded the occurrence of hematuria among 84 dengue patients visiting to our center during an outbreak. Among these 84 cases (54 males and 30 females, age 13–45 years), only 1 patient had gross hematuria (1.19%). Among the remaining 83 cases, microscopic hematuria was seen in 24 cases (28.9%). Except for the case with gross hematuria, no additional investigation was done because the patients were managed for the main problem, dengue. For the case with gross hematuria, the X-ray of kidney, ureter, and bladder region was normal. On follow-up, the urinary finding returned to normal within 10 days in all cases including to the case with gross hematuria. Although hematuria is a possible bleeding presentation in dengue, there are few reports on this problem among dengue patients.[1],[2] Indeed, genitourinary bleeding is considered rare in dengue.[1] However, in another report from Fiji, gross hematuria was reported in 20% of dengue patients.[2] In the present report, the rate of gross hematuria was not high and this might be due to early presentation before bleeding complications developed. Nevertheless, we report the rate of microscopic hematuria among dengue patients. The data on high microscopic hematuria from urinalysis can support the importance of the problem.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.





 
   References Top

1.
Wiwanitkit V. Bleeding and other presentations in Thai patients with dengue infection. Clin Appl Thromb Hemost 2004;10:397-8.  Back to cited text no. 1
    
2.
Fagbami AH, Mataika JU, Shrestha M, Gubler DJ. Dengue type 1 epidemic with haemorrhagic manifestations in Fiji, 1989-90. Bull World Health Organ 1995;73:291-7.  Back to cited text no. 2
    




 

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