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Postoperative Bleeding in a HIV-Positive Patient Operated for Oral Cancer: A Case Report
Mansi Dey1, Arjun Agarwal2, Abhijeeta Sahoo3
1Oral and Maxillofacial Surgery, Maharishi Markandeshwar College of Dental Sciences and Research, Mullana, Ambala, Haryana India.
Summary
Patients with human immunodeficiency virus (HIV) face increased surgical risks, including postoperative bleeding and infection. This case highlights potential complications beyond typical HIV-related issues, emphasizing careful patient monitoring.
Area of Science:
- Medicine
- Infectious Diseases
- Oncology
Background:
- Human immunodeficiency virus (HIV) increases patient risk for various complications.
- Postoperative complications, such as surgical site infections and pneumonia, are more common in HIV-infected individuals.
- Antiretroviral therapy for HIV can lead to cardiovascular issues and affect platelet aggregation.
Purpose of the Study:
- To present a case of a patient with oral cancer who experienced postoperative bleeding and infection.
- To discuss complications in HIV-infected patients undergoing surgery.
Main Methods:
- Case report of a 47-year-old patient operated for oral cancer.
- Monitoring of postoperative complications including bleeding, infection, and blood parameters.
Main Results:
- The patient developed postoperative bleeding and infection, distinct from thrombocytopenia.
- Anemia due to blood loss and a significant increase in total leukocyte (TLC) count were observed.
- The patient did not present with HIV-associated thrombocytopenia.
Conclusions:
- HIV-infected patients undergoing surgery are susceptible to a range of postoperative complications, including bleeding and infection.
- Careful monitoring for complications such as anemia and elevated TLC count is crucial in these patients.
- This case underscores the importance of comprehensive postoperative care for HIV-positive individuals, even in the absence of specific HIV-related conditions like thrombocytopenia.
