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

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.
Source: Indian Journal of Urology - Category: Urology & Nephrology Authors: Source Type: research

Related Links:

We present a bulk motion detection and a linear time invariant (LTI) model-based motion correction approach for DCE-MRI alignment that leverages the temporal dynamics of the DCE data at each voxel. We evaluate our approach on 10 newborn patients that underwent DCE imaging without sedation. For each patient, we reconstructed the sequence of DCE images, detected and removed the volumes corrupted by motion using a self navigation approach, aligned the sequence using our approach and fitted the TK model to compute GFR. The results show that our approach correctly aligned all volumes and improved the TK model fit and, on averag...
Source: MICCAI International Conference on Medical Image Computing and Computer-Assisted Intervention - Category: Radiology Tags: Med Image Comput Comput Assist Interv Source Type: research
Resumo A trajet ória histórica vivenciada pelos povos indígenas no Brasil coadunou numa complexa situação social que se estende com precariedade e evidentes disparidades traduzidas em pior perfil de pobreza, escolaridade e de saúde em relação a outros segmentos da sociedade nacional. As políticas de saúde direcionadas para os povos indígenas não conseguiram até a atualidade superar as lacunas do cuidado especializado, persistindo a atenção fragmentada e emergencial, manutenção de péssimo quadro de m...
Source: Ciencia e Saude Coletiva - Category: Occupational Health Source Type: research
Resumo El objetivo de este trabajo es presentar los principales sistemas de jerarquizaci ón que caracterizan al campo médico en México (y, por extensión, al de muchos países de Latinoamérica con condiciones similares). Adoptando el enfoque del estructuralismo genético de Bourdieu, la hipótesis es que la estructura del campo médico se corresponde con una serie de esquemas de per cepción y apreciación de sus agentes, que se basan en clasificaciones jerárquicas con base en las cuales se divide el trabajo y se distribuye el prestigio entre sus ...
Source: Ciencia e Saude Coletiva - Category: Occupational Health Source Type: research
Sweden death rate now higher than France; Pakistan records largest single day rise in new infections; global deathspass 380,000. This blog is now closedFollow the latest global coronavirus live blog here12.26amBSTWe ’ve launched a new blog at the link below:Related:Coronavirus live news: Germany reveals major stimulus plan as global cases grow by 100,000 a day11.52pmBSTAt least three people were reported dead as coronavirus-hit Mumbai appeared to escape the worst of Cyclone Nisarga Wednesday, the first severe storm to threaten India ’s financial capital in more than 70 years, AFP reports.The city and its surrou...
Source: Guardian Unlimited Science - Category: Science Authors: Tags: Coronavirus outbreak World news UK news US news Australia news Science Infectious diseases India Brazil Americas South and Central Asia Microbiology Asia Pacific Africa Middle East and North Africa China Medical research Source Type: news
PMID: 32484399 [PubMed - as supplied by publisher]
Source: Adv Physiol Educ - Category: Universities & Medical Training Authors: Tags: Adv Physiol Educ Source Type: research
In conclusion, we report the case of tunneled hemodialysis catheter-related complete obstruction of the right brachiocephalic vein in a lupus nephritis patient undergoing hemodialysis. Clinicians should be aware of this potential complication when tunneled hemodialysis catheters are used and consider the next vascular access type before a tunneled hemodialysis catheter has been indwelled for the long term. PMID: 32484005 [PubMed - as supplied by publisher]
Source: The Journal of Vascular Access - Category: Surgery Tags: J Vasc Access Source Type: research
In this study, we aimed to evaluate the prevalence of PNH clones in 99 patients with primary AIHA, and their correlations with disease features and outcomes. Moreover, in the attempt to disclose the physiopathology of PNH positivity in AIHA, serum levels of several immunomodulatory cytokines were tested. A PNH clone was found in 37 AIHA patients (37,4%), with a median size of 0.2% on granulocytes (range 0.03–85). Two patients showed a large clone (16 and 85%) and were therefore considered as AIHA/PNH association and not included in further analysis. Compared to PNH negative, PNH positive cases displayed a higher hemo...
Source: Frontiers in Immunology - Category: Allergy & Immunology Source Type: research
ConclusionsFor paracetamol versus ibuprofen, when using LSPS methods in the CPRD, it is only possible to distinguish true effects if those effects are large (hazard ratio  >  2). Due to their smaller hazard ratios, the outcomes under study cannot be differentiated from null effects (represented by negative controls) even if there were a true effect. Based on these data, we conclude that we are unable to determine whether paracetamol is associated with an increased ris k of myocardial infarction, stroke, GI bleeding, and acute renal failure compared to ibuprofen, due to residual confounding.
Source: Drug Safety - Category: Drugs & Pharmacology Source Type: research
Publication date: Available online 2 June 2020Source: European Journal of Obstetrics &Gynecology and Reproductive BiologyAuthor(s): Sabine Moehner, Kerstin Becker, Jens A. Lange, Sophia von Stockum, Klaas Heinemann
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
Publication date: Available online 3 June 2020Source: Medical Journal Armed Forces IndiaAuthor(s): Shrirang Vasant Kulkarni, Pankaj P. Rao, C.S. Naidu, N. Pathak, A.K. Singh
Source: Medical Journal Armed Forces India - Category: General Medicine Source Type: research
More News: Anemia | Blood Transusion | Dengue Fever | Dialysis | Hemodialysis | India Health | Renal Failure | Ureter and Renal Pelvis Cancer | Urology & Nephrology