Bilateral rectus sheath haematoma complicating dengue virus infection in a patient on warfarin for mechanical aortic valve replacement: a case report

摘要: The management of Dengue virus infection can be challenging. Varied presentations and numerous complications intrinsic to dengue by itself increase the complexity treatment potential mortality. When burdened with presence additional comorbidities need continue compulsory medications, clear stepwise definitive guidance is lacking patients tend have more complex outcomes calling question clinical decisions that may been taken. use continuation warfarin in one such example. We report a 65 year old South Asian female who presented fever. She had history bronchial asthma, prior abdominal surgery, was on maintained therapeutically appropriate internationalized normalized ratio for mechanical aortic valve replacement. Though preemptive decision stop taken decreasing platelet counts, her course complicated development bilateral rectus sheath haematoma’s requiring resuscitation blood transfusions. viral fever has seen drastic evolution recent updated guidance, scenarios illness still pose challenges managing physician. obligatory anticoagulation which seem counterintuitive during disease as must considered after understanding risks versus its benefits. case maybe warranted, protocol would very helpful making decisions, correct potentially avert catastrophic unpredictable bleeding events.