TY - JOUR AU - Ahmed, Usama AU - Aman, Asiyah PY - 2021/11/23 Y2 - 2024/03/29 TI - Intraoperative Post Partum Hemorrhage in a Patient with Dengue Fever JF - Pakistan Journal of Medical Sciences JA - Pak J Med Sci VL - 38 IS - 1 SE - Case Reports DO - 10.12669/pjms.38.1.4519 UR - https://pjms.org.pk/index.php/pjms/article/view/4519 SP - AB - 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: https://doi.org/10.12669/pjms.38.1.4519How to cite this:Ahmed U, Aman A. Intraoperative Post Partum Hemorrhage in a Patient with Dengue Fever. Pak J Med Sci. 2022;38(1):326-328.  doi: https://doi.org/10.12669/pjms.38.1.4519This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. ER -