Intraoperative Post Partum Hemorrhage in a Patient with Dengue Fever
A 33 year old obstetric patient with mild fever of undiagnosed etiology underwent emergency caesarean section under general anesthesia. She had platelet count of 98,000 per microliter and increased APTT of 37.8 s at the time of surgery. After uneventful anesthetic induction and delivery of fetus, sl...
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| Veröffentlicht in: | Pakistan journal of medical sciences 2022-02, Vol.38 (1), p.326-328 |
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| container_title | Pakistan journal of medical sciences |
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| creator | Ahmed, Usama Aman, Asiyah |
| description | A 33 year old obstetric patient with mild fever of undiagnosed etiology underwent emergency caesarean section under general anesthesia. She had platelet count of 98,000 per microliter and increased APTT of 37.8 s at the time of surgery. After uneventful anesthetic induction and delivery of fetus, slow and oozing type of bleeding led to massive hemorrhage. Patient remained vitally stable throughout perioperative phase and was extubated. Next day, patient's dengue IgM antibody was reported positive. Neonate was well and his dengue test was negative. Pregnant women are at high risk of developing severe complications of dengue fever with unclear mechanisms related to impaired coagulation. Regional anesthesia may not have safe outcome due to dengue infection. |
| doi_str_mv | 10.12669/pjms.38.1.4519 |
| format | Article |
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She had platelet count of 98,000 per microliter and increased APTT of 37.8 s at the time of surgery. After uneventful anesthetic induction and delivery of fetus, slow and oozing type of bleeding led to massive hemorrhage. Patient remained vitally stable throughout perioperative phase and was extubated. Next day, patient's dengue IgM antibody was reported positive. Neonate was well and his dengue test was negative. Pregnant women are at high risk of developing severe complications of dengue fever with unclear mechanisms related to impaired coagulation. Regional anesthesia may not have safe outcome due to dengue infection.</description><identifier>ISSN: 1682-024X</identifier><identifier>EISSN: 1681-715X</identifier><identifier>DOI: 10.12669/pjms.38.1.4519</identifier><identifier>PMID: 35035449</identifier><language>eng</language><publisher>Pakistan: Knowledge Bylanes</publisher><subject>Blood ; Blood coagulation factors ; Blood platelets ; Case Report ; Dengue ; Dengue fever ; General anesthesia ; Hemorrhage ; Infectious diseases ; Malaria ; Medical personnel ; Medical research ; Medicine, Experimental ; Obstetrics ; Patients ; Pregnancy ; Regional anesthesia ; Surgery ; Systematic review ; Thrombocytopenia ; Tranexamic acid ; Tropical diseases</subject><ispartof>Pakistan journal of medical sciences, 2022-02, Vol.38 (1), p.326-328</ispartof><rights>Copyright: © Pakistan Journal of Medical Sciences.</rights><rights>COPYRIGHT 2022 Knowledge Bylanes</rights><rights>(c)2022 Pakistan Journal of Medical Sciences</rights><rights>Copyright: © Pakistan Journal of Medical Sciences 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c445t-72b350ffe4cc47ddbac8d7c1b726c51438eb78121ab57957166424cf0f736bae3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8713201/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8713201/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35035449$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ahmed, Usama</creatorcontrib><creatorcontrib>Aman, Asiyah</creatorcontrib><title>Intraoperative Post Partum Hemorrhage in a Patient with Dengue Fever</title><title>Pakistan journal of medical sciences</title><addtitle>Pak J Med Sci</addtitle><description>A 33 year old obstetric patient with mild fever of undiagnosed etiology underwent emergency caesarean section under general anesthesia. She had platelet count of 98,000 per microliter and increased APTT of 37.8 s at the time of surgery. After uneventful anesthetic induction and delivery of fetus, slow and oozing type of bleeding led to massive hemorrhage. Patient remained vitally stable throughout perioperative phase and was extubated. Next day, patient's dengue IgM antibody was reported positive. Neonate was well and his dengue test was negative. Pregnant women are at high risk of developing severe complications of dengue fever with unclear mechanisms related to impaired coagulation. Regional anesthesia may not have safe outcome due to dengue infection.</description><subject>Blood</subject><subject>Blood coagulation factors</subject><subject>Blood platelets</subject><subject>Case Report</subject><subject>Dengue</subject><subject>Dengue fever</subject><subject>General anesthesia</subject><subject>Hemorrhage</subject><subject>Infectious diseases</subject><subject>Malaria</subject><subject>Medical personnel</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><subject>Obstetrics</subject><subject>Patients</subject><subject>Pregnancy</subject><subject>Regional anesthesia</subject><subject>Surgery</subject><subject>Systematic review</subject><subject>Thrombocytopenia</subject><subject>Tranexamic acid</subject><subject>Tropical diseases</subject><issn>1682-024X</issn><issn>1681-715X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNptkc1r3DAQxUVpadIk596KodCbHY8-LPlSCEnTBALNoYXchCyP11psayvJW_Lfx5ukaRaKDhKj934azSPkI5QF0KqqTzfrMRZMFVBwAfUbcgiVglyCuHv7eKZ5SfndAfkQ47osecUFfU8OmCiZ4Lw-JBfXUwrGbzCY5LaY3fqYslsT0jxmVzj6EHqzwsxNmVnKyeGUsj8u9dkFTqsZs0vcYjgm7zozRDx53o_Ir8tvP8-v8psf36_Pz25yy7lIuaTN8nDXIbeWy7ZtjFWttNBIWlkBnClspAIKphGyFhKqilNuu7KTrGoMsiPy9Ym7mZsRW4u73ge9CW404V574_T-zeR6vfJbrSQwWsIC-PwMCP73jDHptZ_DtPSs6TIrVYIU6p9qZQbUbur8ArOji1afVbWEWjC2YxX_US2rxdFZP2Hnlvqe4csrQ49mSH30w5ycn-K-8PRJaIOPMWD38kMo9WPsehe7ZkqD3sW-OD69HsyL_m_O7AE0xafU</recordid><startdate>20220228</startdate><enddate>20220228</enddate><creator>Ahmed, Usama</creator><creator>Aman, Asiyah</creator><general>Knowledge Bylanes</general><general>AsiaNet Pakistan (Pvt) Ltd</general><general>Professional Medical Publications</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20220228</creationdate><title>Intraoperative Post Partum Hemorrhage in a Patient with Dengue Fever</title><author>Ahmed, Usama ; Aman, Asiyah</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c445t-72b350ffe4cc47ddbac8d7c1b726c51438eb78121ab57957166424cf0f736bae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Blood</topic><topic>Blood coagulation factors</topic><topic>Blood platelets</topic><topic>Case Report</topic><topic>Dengue</topic><topic>Dengue fever</topic><topic>General anesthesia</topic><topic>Hemorrhage</topic><topic>Infectious diseases</topic><topic>Malaria</topic><topic>Medical personnel</topic><topic>Medical research</topic><topic>Medicine, Experimental</topic><topic>Obstetrics</topic><topic>Patients</topic><topic>Pregnancy</topic><topic>Regional anesthesia</topic><topic>Surgery</topic><topic>Systematic review</topic><topic>Thrombocytopenia</topic><topic>Tranexamic acid</topic><topic>Tropical diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ahmed, Usama</creatorcontrib><creatorcontrib>Aman, Asiyah</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Pakistan journal of medical sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ahmed, Usama</au><au>Aman, Asiyah</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intraoperative Post Partum Hemorrhage in a Patient with Dengue Fever</atitle><jtitle>Pakistan journal of medical sciences</jtitle><addtitle>Pak J Med Sci</addtitle><date>2022-02-28</date><risdate>2022</risdate><volume>38</volume><issue>1</issue><spage>326</spage><epage>328</epage><pages>326-328</pages><issn>1682-024X</issn><eissn>1681-715X</eissn><abstract>A 33 year old obstetric patient with mild fever of undiagnosed etiology underwent emergency caesarean section under general anesthesia. She had platelet count of 98,000 per microliter and increased APTT of 37.8 s at the time of surgery. After uneventful anesthetic induction and delivery of fetus, slow and oozing type of bleeding led to massive hemorrhage. Patient remained vitally stable throughout perioperative phase and was extubated. Next day, patient's dengue IgM antibody was reported positive. Neonate was well and his dengue test was negative. Pregnant women are at high risk of developing severe complications of dengue fever with unclear mechanisms related to impaired coagulation. Regional anesthesia may not have safe outcome due to dengue infection.</abstract><cop>Pakistan</cop><pub>Knowledge Bylanes</pub><pmid>35035449</pmid><doi>10.12669/pjms.38.1.4519</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Pakistan journal of medical sciences, 2022-02, Vol.38 (1), p.326-328 |
| issn | 1682-024X 1681-715X |
| language | eng |
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| source | DOAJ Directory of Open Access Journals; PubMed Central; Alma/SFX Local Collection; PubMed Central Open Access |
| subjects | Blood Blood coagulation factors Blood platelets Case Report Dengue Dengue fever General anesthesia Hemorrhage Infectious diseases Malaria Medical personnel Medical research Medicine, Experimental Obstetrics Patients Pregnancy Regional anesthesia Surgery Systematic review Thrombocytopenia Tranexamic acid Tropical diseases |
| title | Intraoperative Post Partum Hemorrhage in a Patient with Dengue Fever |
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