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The first case of Janibacter bacteremia in pregnancy: A case report and review. 妊娠期第一例Janibacter菌血症病例报告及回顾
IF 0.8
Obstetric Medicine Pub Date : 2025-03-01 Epub Date: 2023-06-29 DOI: 10.1177/1753495X231180943
John D Hall, Abigail Finder, Zachary Connerton, Candace Marr
{"title":"The first case of <i>Janibacter</i> bacteremia in pregnancy: A case report and review.","authors":"John D Hall, Abigail Finder, Zachary Connerton, Candace Marr","doi":"10.1177/1753495X231180943","DOIUrl":"10.1177/1753495X231180943","url":null,"abstract":"<p><p>Clinical infection with <i>Janibacter</i> species is an infrequently reported event. There are a small number of cases of patients with <i>Janibacter</i> bacteremia recognized to date. We report the first case of <i>Janibacter</i> bacteremia in a pregnant woman. The bacteremia was associated with pneumonia. Such cases can be difficult to manage due to the lack of antibiotic susceptibility data for these bacteria. We also report susceptibility data for the <i>Janibacter hoylei</i> that was isolated in our patient. This case demonstrates that <i>J. hoylei</i> can be a pathogen in otherwise immunocompetent pregnant women.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"36-39"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11826874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47809477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pregnancy-onset inflammatory bowel disease: A case report. 妊娠期炎性肠病1例报告
IF 0.8
Obstetric Medicine Pub Date : 2025-03-01 Epub Date: 2023-05-08 DOI: 10.1177/1753495X231173061
Maya Deeb, Parul Tandon, Vivian Huang, Zane R Gallinger
{"title":"Pregnancy-onset inflammatory bowel disease: A case report.","authors":"Maya Deeb, Parul Tandon, Vivian Huang, Zane R Gallinger","doi":"10.1177/1753495X231173061","DOIUrl":"10.1177/1753495X231173061","url":null,"abstract":"<p><p>Pregnancy-onset inflammatory bowel disease (POIBD) is a rare diagnosis that has been associated with diagnostic delay and increased risk of hospitalization compared with inflammatory bowel disease diagnosed outside of pregnancy. There is a paucity of data on the clinical presentation and risk factors associated with maternal and fetal outcomes of POIBD. We present a 29-year-old patient who presented with acute severe ulcerative colitis at 24 weeks gestational age whose course was complicated by delayed diagnosis and therapy, colonic perforation, colectomy, prolonged hospitalization, and neonatal prematurity. The case illustrates the high index for suspicion required for making this diagnosis and the prevention of maternal and neonatal morbidity, together with a growing need to advocate for timely investigations and in-patient management in unwell pregnant patients.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":"1 1","pages":"46-49"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11826840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41803939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A rare case of adult-onset Still's disease presenting in the early postpartum period. 一例罕见的成人发病斯蒂尔氏病出现在产后早期
IF 0.8
Obstetric Medicine Pub Date : 2025-03-01 Epub Date: 2023-05-09 DOI: 10.1177/1753495X231172541
Anna Lieschke, Muhammad Haziq Hasnol, Annabel Martin, Ted Tsai
{"title":"A rare case of adult-onset Still's disease presenting in the early postpartum period.","authors":"Anna Lieschke, Muhammad Haziq Hasnol, Annabel Martin, Ted Tsai","doi":"10.1177/1753495X231172541","DOIUrl":"10.1177/1753495X231172541","url":null,"abstract":"<p><p>The interplay of pregnancy, the immune system and its impact on autoimmune disease is an area of growing interest. Adult-onset Still's disease is a rare auto-inflammatory disorder characterised by fever, rash, arthralgia and leucocytosis. We describe a rare case of the disease presenting for the first time in the immediate postpartum period, highlighting pregnancy and birth as possible triggers for this condition.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"50-53"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11826871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44938821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development of tonsil stones during pregnancy. 怀孕期间扁桃体结石的发展
IF 0.8
Obstetric Medicine Pub Date : 2025-03-01 Epub Date: 2023-05-22 DOI: 10.1177/1753495X231174380
Drew H Smith, Joann Gold, Yusuf Dundar, Joehassin Cordero, Christine D'Aguillo
{"title":"Development of tonsil stones during pregnancy.","authors":"Drew H Smith, Joann Gold, Yusuf Dundar, Joehassin Cordero, Christine D'Aguillo","doi":"10.1177/1753495X231174380","DOIUrl":"10.1177/1753495X231174380","url":null,"abstract":"<p><p>Despite widespread anecdotal evidence of an increase in tonsil stone formation during pregnancy, including messages on internet pregnancy forums, there is little published research on this topic. Here we present three patients who experienced new or worsening of existing tonsil stones during various points of their pregnancy. Additionally, common presentations of tonsil stones as well as the medical and surgical management options are discussed. Physiological changes during pregnancy could be a contributing factor to an increase in tonsil stones during this period. Since patients may voice complaints of tonsil stones to their obstetricians prior to establishing care with an otolaryngologist, it is important that obstetricians are aware of this disease process and its management.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"40-42"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11826834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48320030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gestational gigantomastia: The sentinel event to systemic lupus erythematosus. 妊娠期巨乳症:系统性红斑狼疮的前哨事件
IF 0.8
Obstetric Medicine Pub Date : 2025-03-01 Epub Date: 2023-05-17 DOI: 10.1177/1753495X231173822
Vandana Mohan, Anshuja Singla, Rachna Agarwal
{"title":"Gestational gigantomastia: The sentinel event to systemic lupus erythematosus.","authors":"Vandana Mohan, Anshuja Singla, Rachna Agarwal","doi":"10.1177/1753495X231173822","DOIUrl":"10.1177/1753495X231173822","url":null,"abstract":"<p><p>Gestational gigantomastia or gravid macromastia is a rare condition presenting as incapacitating breast enlargement during pregnancy. It is physically and psychologically debilitating for the patient. Fewer than 100 cases have been published to date. The etiology of the condition is unknown, but various theories have been proposed. Here we report a case of a 27 year old woman in her second pregnancy, with an abnormal increase in the size of breasts. Her breast size increased from 34B to 52D brassiere size. Routine antenatal, hormone, and initial autoimmune investigations were within normal limits. The patient was managed conservatively with breast support and had a spontaneous resolution in the postpartum period. During follow up she was diagnosed with systemic lupus erythematosus, making the association of the two conditions a possibility. Good knowledge about this rare condition is necessary for all doctors, especially obstetricians.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"43-45"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11826868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48679891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Recurrent isolated sixth cranial nerve palsy as a manifestation of preeclampsia.
IF 0.8
Obstetric Medicine Pub Date : 2025-02-24 DOI: 10.1177/1753495X251317604
Daniel Negreanu, Catherine Legault, Amira El-Messidi, Isabelle Malhamé
{"title":"Recurrent isolated sixth cranial nerve palsy as a manifestation of preeclampsia.","authors":"Daniel Negreanu, Catherine Legault, Amira El-Messidi, Isabelle Malhamé","doi":"10.1177/1753495X251317604","DOIUrl":"10.1177/1753495X251317604","url":null,"abstract":"<p><strong>Background: </strong>Isolated sixth nerve palsy is a rare neurologic manifestation of preeclampsia suggesting severity. The purpose of this article is to describe a case of recurrent sixth cranial nerve palsy in the setting of preeclampsia and to highlight its clinical significance, management considerations, and prognosis.</p><p><strong>Case: </strong>A 28-year-old woman presented with recurrent left sixth nerve palsy in the setting of preeclampsia at 36 weeks' gestation. No alternative diagnosis was found in laboratory investigations and cerebral imaging. Symptoms resolved spontaneously within 5 days of delivery.</p><p><strong>Conclusion: </strong>A case of recurrent isolated sixth cranial nerve palsy as a manifestation of preeclampsia is described. This rare finding must be recognized by those caring for pregnant individuals.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"1753495X251317604"},"PeriodicalIF":0.8,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11848858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adherence to HIV vertical transmission prevention (VTP) policies in a tertiary-level obstetric unit in South Africa.
IF 0.8
Obstetric Medicine Pub Date : 2025-02-20 DOI: 10.1177/1753495X251317263
Jarrod Zamparini, Sulaiman Hassan, Natasha Davies, Wilhelm Herbst, Shastra Bhoora, Robert Nyakoe, Lawrence Chauke
{"title":"Adherence to HIV vertical transmission prevention (VTP) policies in a tertiary-level obstetric unit in South Africa.","authors":"Jarrod Zamparini, Sulaiman Hassan, Natasha Davies, Wilhelm Herbst, Shastra Bhoora, Robert Nyakoe, Lawrence Chauke","doi":"10.1177/1753495X251317263","DOIUrl":"10.1177/1753495X251317263","url":null,"abstract":"<p><strong>Background: </strong>HIV disproportionately affects women of childbearing age in South Africa. Despite progress in antiretroviral therapy access, challenges persist in HIV vertical transmission prevention (VTP).</p><p><strong>Methods: </strong>We conducted a single-centre, retrospective observational audit of women delivering between May and August 2023 at the Charlotte Maxeke Johannesburg Academic Hospital in Johannesburg, South Africa to assess adherence to national VTP guidelines.</p><p><strong>Results: </strong>Of 563 women, 22% (125/563) were living with HIV at their first antenatal visit, increasing to 24.3% (137/563) by delivery. HIV retesting rates declined from 46% (181/394) at the second visit to 20% (30/151) by the eighth. HIV viral load testing was performed in 71.5% of women (98/137) at delivery, with 72.4% (71/98) achieving viral suppression. Birth PCR testing was not performed for 21.1% (29/137) of HIV-exposed infants.</p><p><strong>Conclusion: </strong>Significant gaps in HIV retesting, viral load monitoring, and birth PCR testing highlight ongoing challenges in VTP guideline adherence.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"1753495X251317263"},"PeriodicalIF":0.8,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11840821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lactation anaphylaxis complicated by reversible cardiac dysfunction in a multiparous woman with previous breastfeeding experience.
IF 0.8
Obstetric Medicine Pub Date : 2025-02-16 DOI: 10.1177/1753495X251317754
Shahad Al-Tikriti, Mahendar Kumar, Maggie O'Brien, Roger McMorrow, David Crosby
{"title":"Lactation anaphylaxis complicated by reversible cardiac dysfunction in a multiparous woman with previous breastfeeding experience.","authors":"Shahad Al-Tikriti, Mahendar Kumar, Maggie O'Brien, Roger McMorrow, David Crosby","doi":"10.1177/1753495X251317754","DOIUrl":"10.1177/1753495X251317754","url":null,"abstract":"<p><p>A multiparous woman in her late 20s developed postpartum angioedema, rash, profound hypotension, and decreased consciousness, progressing to acute myocardial dysfunction with left ventricular impairment. Despite thorough investigations, no clear cause was found. Anaphylaxis to medication was initially suspected as the patient had received paracetamol, ibuprofen and intrapartum antibiotics, however the symptoms resolved with cabergoline-induced lactation suppression leading to the diagnosis of lactation anaphylaxis being made. This case suggests lactation anaphylaxis can trigger transient cardiac issues, highlighting the need for awareness and further research. Lactation anaphylaxis is rarely documented, and cardiac involvement has not been previously described. Effective management of lactation anaphylaxis, particularly with cardiac complications, is crucial. This case emphasizes the importance of considering lactation anaphylaxis in postpartum allergic presentations and highlights the necessity for more research on its mechanisms and treatment.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"1753495X251317754"},"PeriodicalIF":0.8,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Urticarial reaction to low molecular weight heparin injections.
IF 0.8
Obstetric Medicine Pub Date : 2025-02-13 DOI: 10.1177/1753495X251317303
Amanda Hill, Charlotte Williams, Katherine Finucane, Naomi Carson, Francesca Neuberger, Fangyi Xie
{"title":"Urticarial reaction to low molecular weight heparin injections.","authors":"Amanda Hill, Charlotte Williams, Katherine Finucane, Naomi Carson, Francesca Neuberger, Fangyi Xie","doi":"10.1177/1753495X251317303","DOIUrl":"10.1177/1753495X251317303","url":null,"abstract":"<p><p>Low molecular weight heparin (LMWH) is a common agent given in pregnancy; however, cutaneous drug reactions with its use in pregnancy are rarely reported. The case describes a 30-year-old woman with stable Crohn's disease on ustekinumab presenting with a rash at prophylactic LMWH injection sites 30 weeks into her third pregnancy. Skin biopsy reported appearance consistent with an urticarial drug hypersensitivity reaction. A combination of steroid treatment, topical emollient and cessation of LMWH resulted in resolution of symptoms over 2 weeks. Postnatal venous thromboembolism prophylaxis with fondaparinux was uncomplicated. Overall, this case highlights the importance of reporting drug reactions in pregnancy. It additionally exposes a gap in research surrounding immunomodulators and heparins in the development of cutaneous reactions in pregnancy.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"1753495X251317303"},"PeriodicalIF":0.8,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11826822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The risk of recurrence of acute fatty liver of pregnancy - a review of the current literature. 妊娠急性脂肪肝的复发风险--现有文献综述。
IF 0.8
Obstetric Medicine Pub Date : 2025-02-02 DOI: 10.1177/1753495X251317259
Adam Morton, Liza Phillips, Janelle Nisbet, Jin-Wen He
{"title":"The risk of recurrence of acute fatty liver of pregnancy - a review of the current literature.","authors":"Adam Morton, Liza Phillips, Janelle Nisbet, Jin-Wen He","doi":"10.1177/1753495X251317259","DOIUrl":"10.1177/1753495X251317259","url":null,"abstract":"<p><p>Acute fatty liver of pregnancy is associated with significant maternal and fetal morbidity and mortality. Defects in fatty acid metabolism appear to play a role in pathogenesis, and several pathogenic variants leading to enzyme deficiencies have been associated with the development of acute fatty liver of pregnancy. The risk of recurrence in subsequent pregnancies is unknown. A review of 10 small case series of women with acute fatty liver of pregnancy disclosed only one case of recurrence in 35 subsequent pregnancies. This contrasted with a survey where 5 of 24 women reported recurrent acute fatty liver in subsequent pregnancies. Retrospective and prospective studies examining subsequent pregnancy outcomes following a diagnosis of acute fatty liver of pregnancy would be useful to better define risk and aid in preconception counselling of women who have had a diagnosis of acute fatty liver of pregnancy and wish to consider further pregnancies.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"1753495X251317259"},"PeriodicalIF":0.8,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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