Indian Journal of Urology
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


Manish Kumar, Aswathaman Karthikeyan, Vilvapathy Senguttuvan Karthikeyan 
 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

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.


How to cite this article:
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;36:136-137


How to cite this URL:
Kumar M, Karthikeyan A, Karthikeyan VS. Dengue shock syndrome after percutaneous nephrolithotomy leading to hematuria and renal failure: A rare complication. Indian J Urol [serial online] 2020 [cited 2022 Jan 26 ];36:136-137
Available from: https://www.indianjurol.com/article.asp?issn=0970-1591;year=2020;volume=36;issue=2;spage=136;epage=137;aulast=Kumar;type=0