Open AccessDengue shock syndrome after percutaneous nephrolithotomy leading to hematuria and renal failure: A rare complication
Author(s) -
Manish Kumar,
Aswathaman Karthikeyan,
Vilvapathy Senguttuvan Karthikeyan
Publication year - 2020
Publication title -
indian journal of urology/indian journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.333
H-Index - 30
eISSN - 1998-3824
pISSN - 0970-1591
DOI - 10.4103/iju.iju_335_19
Subject(s) - medicine , percutaneous nephrolithotomy , surgery , lithotomy position , complication , anuria , microscopic hematuria , dengue fever , hematocrit , hemodialysis , blood transfusion , creatinine , urology , percutaneous , kidney , proteinuria , alternative medicine , pathology , immunology
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 2 nd 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 7 th 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.