Dear Editor,
Among the many causes of hematuria, bleeding disorders are an important cause. Infection-induced bleeding disorders that cause hematuria include Dengue, a specific viral infection. In 2015, we recorded the occurrence of hematuria among 84 dengue patients visiting to our center during an outbreak. Among these 84 cases (54 males and 30 females, age 13–45 years), only 1 patient had gross hematuria (1.19%). Among the remaining 83 cases, microscopic hematuria was seen in 24 cases (28.9%). Except for the case with gross hematuria, no additional investigation was done because the patients were managed for the main problem, dengue. For the case with gross hematuria, the X-ray of kidney, ureter, and bladder region was normal. On follow-up, the urinary finding returned to normal within 10 days in all cases including to the case with gross hematuria. Although hematuria is a possible bleeding presentation in dengue, there are few reports on this problem among dengue patients.[1,2] Indeed, genitourinary bleeding is considered rare in dengue.[1] However, in another report from Fiji, gross hematuria was reported in 20% of dengue patients.[2] In the present report, the rate of gross hematuria was not high and this might be due to early presentation before bleeding complications developed. Nevertheless, we report the rate of microscopic hematuria among dengue patients. The data on high microscopic hematuria from urinalysis can support the importance of the problem.
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REFERENCES
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