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CASE REPORT
Year : 2020  |  Volume : 36  |  Issue : 2  |  Page : 136-137

Dengue shock syndrome after percutaneous nephrolithotomy leading to hematuria and renal failure: A rare complication


Department of Urology, Sri Narayani Hospital and Research Centre, Vellore, Tamil Nadu, India

Correspondence Address:
Aswathaman Karthikeyan
Department of Urology, Sri Narayani Hospital and Research Centre, Vellore, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/iju.IJU_335_19

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Hematuria following percutaneous nephrolithotomy (PCNL) is a dreaded complication. It necessitates blood transfusion in up to 10% of patients. It may be severe enough in <1% of patients to require angioembolization. We present a 50-year-old male who underwent PCNL for renal pelvic calculus. Since the day of the surgery, he had low-grade fever (100°F) which worsened (102°F) from the 2nd postoperative day. His preoperative urine culture was sterile. His platelet counts started dropping and NS1 antigen for dengue was positive. He also developed anemia (hemoglobin: 7g%) and platelet counts dropped to 17,000/cmm. He developed anuria on the 7th postoperative day, with serum creatinine rising to 7 mg%. He required two sessions of hemodialysis and urine output improved. There is a need for high index of suspicion for dengue, especially when fever and hematuria coexist in post PCNL patients.


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