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Acute intravascular hemolysis (AIH) with hemoglobinuria is a rare complication of dengue viral infection. Review of the literature revealed only one report of AIH as a complication of dengue fever (DF). We report a case of AIH with massive hemoglobinuria in a 17-year-old Sri Lankan male, in the febrile phase of DF. This unusual and rare complication warranted forced diuresis, to prevent acute kidney injury. This was a departure from the recommended fluid therapy for DF.

Citation

Kolitha H Sellahewa, Mohan P Kumaratne, Shane Halpe, Kavindya Marapana. Case Report: A Case of Acute Intravascular Hemolysis in Dengue Fever. The American journal of tropical medicine and hygiene. 2020 Feb;102(2):355-358

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PMID: 31912775

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