Key result
Severe postpartum sepsis links to prolonged myocardial dysfunction requiring long-term heart failure therapy.
Case Report (n=1)
This case demonstrates that myocardial dysfunction from severe sepsis may be prolonged in parturients, requiring longer-term follow-up and pharmacological therapy for symptom relief.
May warrant extended cardiac monitoring in postpartum sepsis; leaves open whether obstetric factors prolong septic myocardial dysfunction recovery.
INTRODUCTION: Severe sepsis during pregnancy or in the postpartum period is a rare clinical event. In non obstetric surviving patients, the cardiovascular changes seen in sepsis and septic shock are fully reversible five to ten days after their onset. We report a case of septic myocardial dysfunction lasting longer than ten days. To the best of our knowledge, this is the first report of prolonged septic myocardial dysfunction in a parturient. CASE PRESENTATION: A 24 year old Hispanic woman with no previous medical history developed pyelonephritis and severe sepsis with prolonged myocardial dysfunction after a normal spontaneous vaginal delivery. CONCLUSIONS: Septic myocardial dysfunction may be prolonged in parturients requiring longer term follow up and pharmacologic treatment.
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Mazzeffi et al. (2010) conducted a case report in Severe postpartum sepsis with prolonged myocardial dysfunction (n=1). Severe postpartum sepsis was evaluated on Prolonged myocardial dysfunction. Severe postpartum sepsis can cause prolonged myocardial dysfunction in parturients, requiring longer-term follow-up and pharmacological treatment for symptomatic heart failure.
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