2014, Number 03
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Ginecol Obstet Mex 2014; 82 (03)
A case study of anaphylaxis in a pregnant woman
Ferreres-García K, de León-Luis J, Seoane E, García-Marqués E, Sanjuan C, Ortiz-Quintana L
Language: Spanish
References: 14
Page: 188-193
PDF size: 801.04 Kb.
ABSTRACT
We report a case of anaphylaxis in a 35+5 week of pregnancy patient
who came to the Emergency Room with shortness of breath, hypotension
and loss on fetal wellbeing. Due to her medical history and
given the clinical picture at that time, an anaphylactic shock was
suggested as the most probable diagnose. The administration of dexchlorpheniramine
and methylprednisolone resulted in an immediate
and positive reaction. Simultaneously, an improvement in the fetus
cardiotocographic record was objectified. The patient was hospitalized
for 48 hours, after which she was discharged. In case of suspicion of
anaphylaxis in a pregnant woman, four aspects should be handled: the
severity of the anaphylaxis chart, individual complications regarding a
pregnant woman, unfavorable effects of the regularly used treatment
during that specific gestation, and the need of fetal extraction based
of gestational age.
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