Concurrent Late Post-Tonsillectomy Hemorrhage and Dengue Fever in a 17-Year-Old Girl: A Case Report

Authors

  • Josephine Grace R. Tan, MD Corazon Locsin Montelibano Memorial Regional Hospital
  • Rachel Zita H. Ramos, MD Corazon Locsin Montelibano Memorial Regional Hospital

DOI:

https://doi.org/10.32412/pjohns.v40i.877

Keywords:

tonsillectomy, tonsillectomy, adverse effects, tonsillectomy, mortality, dengue, dengue hemorrhagic fever

Abstract

Objective: To present the case of a 17-year-old girl who was readmitted post-tonsillectomy due to dengue fever, hematemesis and late tonsillar bleeding three weeks after the surgery.

Methods:
Design: Case Report
Setting: Tertiary Government Training Hospital
Patient: One

Results: A previously healthy 17-year-old Filipino girl underwent uncomplicated elective tonsillectomy for chronic hypertrophic tonsillitis. Twenty days post-operatively, she developed fever, thrombocytopenia and massive hematemesis. Despite intensive care management for severe dengue fever with concurrent late post tonsillectomy bleeding, the patient died from hemorrhagic shock on post-operative day 21.

Conclusion: This appears to be the first reported case of concurrent late post-tonsillectomy hemorrhage and dengue fever in a previously healthy adolescent girl. In dengue-endemic areas, post-tonsillectomy patients should be counseled about dengue prevention and advised to seek medical attention for persistent fever. Early recognition and management of this potentially fatal combination is crucial for improving patient outcomes.

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Published

2025-09-20

How to Cite

1.
Tan JG, Ramos RZ. Concurrent Late Post-Tonsillectomy Hemorrhage and Dengue Fever in a 17-Year-Old Girl: A Case Report. Philipp J Otolaryngol Head Neck Surg [Internet]. 2025 Sep. 20 [cited 2026 May 3];:21-3. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/877

Issue

Vol. 40 Supplement (2025): Philippine Journal of Otolaryngology Head and Neck Surgery

Section

Case Reports

License

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