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- Usama Ahmed and Asiyah Aman.
- Dr. Usama Ahmed, Fellow Pain Medicine, Department of Anaesthesiology, The Aga Khan University, Karachi, Pakistan.
- Pak J Med Sci. 2022 Jan 1; 38 (1): 326-328.
AbstractA 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.Copyright: © Pakistan Journal of Medical Sciences.
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