Management of Concurrent Severe Preeclampsia and Thrombotic Thrombocytopenic Purpura (TTP)

Abstract

A 24yearold parturient G2 P1 A0 at the gestational age of 38 weeks, presented at emergency department. She had a history of proteinuria (3+) eight months prior to admission in our hospital. Because of severe high blood pressure 220/160 mmHg, proteinuria (3+), high serum creatinine (cr.=1.7), mild loss of consciousness and she was admitted in intensive care unit. After some medical treatment (magnesium sulfate and hydralazine) and partially stabilization of her blood pressure, urgent pregnancy termination via lower segment caesarean section (LSCS) was performed. On admission in ICU (the first day) she had no headache and blurred vision, but complained of epigastric pain and nausea. Blood sugar was normal vital signs: BP: 220/160 mmHg, PR: 90/min, RR: 18/ min, T: 37.8 C., spo2>92% (by room air)