Highlights a complex diagnostic and management scenario involving severe sepsis, pre-eclampsia, peripartum cardiomyopathy, and HELLP syndrome in a parturient.
Highlights the need for multidisciplinary vigilance in overlapping severe obstetric and cardiovascular syndromes; leaves open.
A 33-year-old primigravida presented with severe sepsis, severe pre-eclampsia, peripartum cardiomyopathy and the haemolysis, elevated liver enzymes and low platelets syndrome manifesting over the course of 24 h causing a diagnostic conundrum and a difficult sequence of physiological problems to overcome. We describe a previously unreported sequence of events involving a pre-eclamptic, septic parturient to improve anaesthetic and intensive care physician awareness of confounding factors that complicate assessment and management of these patients.
No takes yet. Share an insight, caveat, or question.
Hoy et al. (2017) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: