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Sheehan’s syndrome in a dengue parturient

Groups and Associations P Pooja1, N Dixit, K Kilapadi, A Sebastian, S Gopal
Sri Lankan Journal of Anaesthesiology 2017

Dengue fever is a mosquito borne arboviral infection which is a major health
problem worldwide. Complications vary widely and become critical mostly during
defervescence period. Dengue fever in pregnant women can cause variety of
obstetric and neonatal complications. Sheehan’s syndrome (SS) is a parturition-
related pituitary disease resulting from severe postpartum haemorrhage and can
present with varying degrees of pituitary insufficiency. Emergency anaesthetic
management of a dengue parturient and SS which developed subsequently,
secondary to profuse intrapartum bleeding is discussed.
Keywords: Dengue fever; Sheehan’s syndrome; HELLP syndrome

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