Puerperal streptococcal toxic shock syndrome treated with recombinant human activated protein C and intravenous immunoglobulin

被引:7
作者
Al-Rawi, S. [1 ]
Woodward, L. J. [1 ]
Knight, J. [2 ]
机构
[1] Southampton Univ Hosp NHS Trust, Shackleton Dept Anaesthesia, Southampton SO16 6YD, Hants, England
[2] N Hampshire Hosp NHS Fdn Trust, Basingstoke, Hants, England
关键词
Puerperal sepsis; Group A streptococcal infections; Recombinant human activated protein C; Intravenous immunoglobulin; Heparin-induced thrombocytopenia; SEVERE SEPSIS; EFFICACY; PATIENT; ADULT;
D O I
10.1016/j.ijoa.2008.10.003
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Group A streptococcal sepsis is an uncommon management challenge and has a potentially fulminate course. We present the case of a 25-year-old woman who, within 24 It of spontaneous vaginal delivery at 32 weeks of gestation, developed signs of systemic infection and multi-organ failure requiring admission to the intensive care Unit. Recombinant human activated protein C and intravenous immunoglobulin were used subsequently heparin-induced thrombocytopenia and pulmonary embolus also required treatment. (C) 2008 Elsevier Ltd. All rights reserved.
引用
收藏
页码:169 / 172
页数:4
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