Case Report
Year: 2019 | Month: November | Volume: 6 | Issue: 11 | Pages: 561-563
Perplexing Etiology of Grey Turner Sign - Perinephric Hematoma in Dengue
Vivek Sood, Arun Joshi, Samman Verma, Arun Dua, Raja Ramachandran, PM Dogra
Department of Nephrology, Army Hospital (Research & Referral), New Delhi, India
Corresponding Author: Vivek Sood
ABSTRACT
Dengue classically manifests as an acute febrile illness with associated prodrome comprising of prostration, arthralgia, myalgia, headache and retro-orbital pain. A small proportion of patients may present with bleeding manifestations (rash, gum bleed, epistaxis and melena) while an even subtle subset may have dreaded capillary leak; recognized as severe Dengue. Isolated perinephric bleed presenting as abdominal wall ecchymoses has never been reported. In this context, index case exemplifies a relatively uncommon clinical manifestation (Grey Turner sign consequent to perinephric hematoma) of a rather prevalent tropical infection (Dengue).
Key words: Perinephric hematoma, Dengue, Grey Turner sign
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