Case Reports in Perinatal Medicine最新文献_第8页

Severe hypocalcemia and seizures after normalization of pCO2 in a patient with severe bronchopulmonary dysplasia and permissive hypercapnia 严重支气管肺发育不良伴容许性高碳酸血症患者pCO2正常化后的严重低钙血症和癫痫发作

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Case Reports in Perinatal Medicine Pub Date : 2021-01-01 DOI: 10.1515/crpm-2021-0039

Erick J. Bordón Sardiña, Cristina Romero Álvarez, Rocío Díaz de Bethencourt Pardo, L. Urquía Martí, F. García-Muñoz Rodrigo

{"title":"Severe hypocalcemia and seizures after normalization of pCO2 in a patient with severe bronchopulmonary dysplasia and permissive hypercapnia","authors":"Erick J. Bordón Sardiña, Cristina Romero Álvarez, Rocío Díaz de Bethencourt Pardo, L. Urquía Martí, F. García-Muñoz Rodrigo","doi":"10.1515/crpm-2021-0039","DOIUrl":"https://doi.org/10.1515/crpm-2021-0039","url":null,"abstract":"Abstract Objectives To describe the association between the rapid normalization of pCO2 after intubation in a patient with severe bronchopulmonary dysplasia managed with permissive hypercapnia, with the risk of developing hypocalcemia and seizures, and to make health care providers aware of this risk in similar cases. Case presentation An extreme premature infant, born at 25 weeks of gestational age (GA), developed a severe bronchopulmonary dysplasia (BPD) and, after several extubation failures could be managed with non-invasive ventilation and permissive hypercapnia, with capillary pCO2 of up to 80 mmHg and pH >7.20. At 46 postmenstrual age (PMA) he was intubated because of severe hypercapnia and compensating metabolic alkalosis. About 20 h after intubation, after normalization of pH and pCO2, he developed hypocalcemia and seizures, that remitted after iCa normalization. A comparison between arterial and capillary blood gases showed a significantly greater correlation between pH and iCa in arterial than in capillary samples. Conclusions Our findings emphasize the importance of avoiding the abrupt reduction of pCO2 and the close monitoring of acute metabolic changes after its correction in chronic patients with permissive hypercapnia, as well as the potential superiority of arterial samples over capillaries to improve the precision of this control.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"15 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89338818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Rothia dentocariosa bacteremia in the newborn: causative pathogen or contaminant? 新生儿牙齿罗氏菌血症:病原还是污染物?

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Case Reports in Perinatal Medicine Pub Date : 2021-01-01 DOI: 10.1515/crpm-2021-0026

D. A. Mazabanda López, D. Reyes Súarez, L. Urquía Martí, F. García-Muñoz Rodrigo

{"title":"Rothia dentocariosa bacteremia in the newborn: causative pathogen or contaminant?","authors":"D. A. Mazabanda López, D. Reyes Súarez, L. Urquía Martí, F. García-Muñoz Rodrigo","doi":"10.1515/crpm-2021-0026","DOIUrl":"https://doi.org/10.1515/crpm-2021-0026","url":null,"abstract":"Abstract Objectives To describe an infrequent case of bacteremia by Rothia dentocariosa in a newborn and to discuss its potential pathogenicity. Case presentation R. dentocariosa is an aerobic or facultative anaerobic gram-positive bacillus, common in the human oral cavity that has been isolated in cases of endocarditis, pneumonia, endophthalmitis and peritonitis in adults. Infections in the fetus and newborn have been scarcely reported. We present a full-term newborn with prolonged rupture of membranes, acute elevation of C-reactive protein, and isolation of R. dentocariosa in the blood culture. Endocarditis was ruled out and the patient did well with five days of intravenous broad spectrum antibiotics. To date, only a previous case of sepsis by R. dentocariosa in a neonate with meconium aspiration syndrome and an antenatal death of a full-term fetus with hemorrhagic brain lesions probably related to R. dentocariosa have been reported. Conclusions Until more information about the pathogenicity of this germ in the newborn is available, an individualized approach and a close clinical control of the patient with infectious risk factors and bacteremia by R. dentocariosa seem to be prudent.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"5 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80094500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A case of severe SARS-CoV-2 infection with negative nasopharyngeal PCR in pregnancy 妊娠期重症SARS-CoV-2感染鼻咽PCR阴性1例

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Case Reports in Perinatal Medicine Pub Date : 2021-01-01 DOI: 10.1515/crpm-2020-0075

A. Fuchs, L. Harris, A. Huber, Mia Heiligenstein, C. Heiselman, K. Herrera, Diana Garretto

{"title":"A case of severe SARS-CoV-2 infection with negative nasopharyngeal PCR in pregnancy","authors":"A. Fuchs, L. Harris, A. Huber, Mia Heiligenstein, C. Heiselman, K. Herrera, Diana Garretto","doi":"10.1515/crpm-2020-0075","DOIUrl":"https://doi.org/10.1515/crpm-2020-0075","url":null,"abstract":"Abstract Objectives SARS-CoV-2 remains a pressing issue for our obstetric community during the current pandemic. We present a case of a 22-year-old nulliparous woman 31 weeks pregnant, with significant clinical SARS-CoV-2 disease, in the setting of negative nasopharyngeal PCR testing but positive IgG antibodies. Case presentation This was a 22-year-old patient 31 weeks pregnant who presented with fever, tachycardia, and subsequently preterm premature rupture of membranes (PPROM) and pulmonary emboli with multifocal pneumonia. The patient underwent three negative SARS-CoV-2 tests via nasopharyngeal PCR testing during her hospital stay as well as a negative workup for fever. After a cesarean section for worsening maternal status after 7 days of hospitalization, the patient was admitted for worsening clinical status to the SICU. At the time of SICU admission patient was found to have serum IgG positive antibodies and was managed with intubation, antibiotics, and anticoagulation. Patient eventually left hospital against medical advice on hospital day 16 on oral antibiotics but was found to be recovering well at later outpatient follow up. Conclusions Diagnosis of SARS-CoV-2 remains a complicated picture in the setting of testing limitations. This case highlights an antepartum clinical presentation of severe SARS-CoV-2 and recommends a high clinical suspicion for diagnosis of SARS-CoV-2 and initiation of treatment in the pregnant population, even in the presence of negative nasopharyngeal PCR testing.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"314 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81894057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

No footprint too small: case of intrauterine herpes simplex virus infection 脚印不嫌小:一例宫内单纯疱疹病毒感染

IF 0.1

Case Reports in Perinatal Medicine Pub Date : 2021-01-01 DOI: 10.1515/crpm-2021-0047

Kaitlyn M. Lopushinsky, A. Harabor, Jaya P. Bodani

{"title":"No footprint too small: case of intrauterine herpes simplex virus infection","authors":"Kaitlyn M. Lopushinsky, A. Harabor, Jaya P. Bodani","doi":"10.1515/crpm-2021-0047","DOIUrl":"https://doi.org/10.1515/crpm-2021-0047","url":null,"abstract":"Abstract Objectives To describe the case of a preterm infant with intrauterine HSV infection. To discuss the epidemiology, features and complications associated with intrauterine HSV infection by conducting a review of medical literature. Case presentation A preterm male infant was born with diffuse skin erosions in various stages of healing suggestive of denuded bullae. Prenatal ultrasound showed evolving fetal cerebral ventriculomegaly, suspected Dandy-Walker malformation, and oligohydramnios. Neonatal skin swabs were positive for herpes simplex virus type 2 by polymerase chain reaction and the patient was treated with intravenous acyclovir from birth. Cranial ultrasound and magnetic resonance imaging findings showed severe progressive ex-vacuo ventricular dilatation consistent with intrauterine herpes simplex infection. Due to those findings and progressive multi-organ dysfunction, care was redirected to a palliative path and the child expired at 21 days of age. In retrospect, the mother had a few atypical vesicles on the left hand 4–5 weeks prior to delivery with a presumptive diagnosis of pompholyx. Conclusions Although confirmed intrauterine herpes simplex virus (HSV) infections are very rare, the potentially devastating prognosis and complications as evidenced by our case show that awareness of intrauterine HSV is critical for pediatricians as well as physicians involved in antenatal care. In order to adequately assess, treat and counsel pregnant women, more work is required to detect HSV infection, evaluate possible congenital infection and improve outcomes with fetal and neonatal treatment.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"15 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74935368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Myomectomy scar pregnancy ‒ a serious, but scarcely reported entity: literature review and an instructive case 子宫肌瘤切除瘢痕妊娠-一个严重的，但很少报道的实体:文献回顾和一个有指导意义的案例

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Case Reports in Perinatal Medicine Pub Date : 2021-01-01 DOI: 10.1515/crpm-2021-0071

Marcela Toro-Bejarano, R. Mora, I. Timor-Tritsch, J. Vernon, A. Monteagudo, F. D’Antonio, K. Duncan

{"title":"Myomectomy scar pregnancy ‒ a serious, but scarcely reported entity: literature review and an instructive case","authors":"Marcela Toro-Bejarano, R. Mora, I. Timor-Tritsch, J. Vernon, A. Monteagudo, F. D’Antonio, K. Duncan","doi":"10.1515/crpm-2021-0071","DOIUrl":"https://doi.org/10.1515/crpm-2021-0071","url":null,"abstract":"Abstract Objectives Uterine myomas are a frequent finding in reproductive age women with an estimated incidence 12–25%. 1. Treatment of uterine myomas to facilitate good pregnancy rates and outcome, such as hysteroscopic, laparoscopic, abdominal resection uterine artery embolization among others were evaluated in terms of pregnancy outcome. While the literature is replete of the pregnancy complication of uterine rupture after myomectomies, 2–4 there are very few publications evaluate a relatively rare pregnancy complication associated with placental implantation within the uterine cavity at the site of the previous myomectomy, namely the myomectomy scar pregnancy (MSP). Despite their relative rarity, this type of pathologically adherent placenta rightfully belongs to the well-known entity of placenta accreta spectrum (PAS). Case presentation We present a complicated case of MSP and review the available literature to raise attention to its clinical appearance, its prenatal diagnosis so appropriate intrapartum management can be planned. Conclusions Despite the rarity of MSP, continuous attention should be given at every single routinely scheduled or indication driven obstetrical US scan following myomectomies to evaluate the placental site implantation regardless of the route and technique of their initial surgical procedure.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"5 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80120330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Elevated fetal middle cerebral artery peak systolic velocity in diabetes type 1 patient: a case report 1型糖尿病患者胎儿大脑中动脉收缩速度峰值升高1例报告

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Case Reports in Perinatal Medicine Pub Date : 2021-01-01 DOI: 10.1515/crpm-2021-0003

C. Lesmes Heredia, M. Comas Rovira, Anna Moreno Baró, Sílvia Pina Pérez, Marc Zamora Lapiedra, Manuel Corona Martínez

{"title":"Elevated fetal middle cerebral artery peak systolic velocity in diabetes type 1 patient: a case report","authors":"C. Lesmes Heredia, M. Comas Rovira, Anna Moreno Baró, Sílvia Pina Pérez, Marc Zamora Lapiedra, Manuel Corona Martínez","doi":"10.1515/crpm-2021-0003","DOIUrl":"https://doi.org/10.1515/crpm-2021-0003","url":null,"abstract":"Abstract Objectives Doppler measurement of fetal middle cerebral artery peak systolic velocity (MCA-PSV) is used to screen fetuses at risk of developing fetal anemia. This screening tool has demonstrated to be accurate to estimate the likelihood of fetal anemia and it has been used in the management of fetuses at this risk. It is rare to find in the literature cases of increased MCA-PSV in the absence of fetal anemia. We present the case of an elevated MCA-PSV in the absence of common causes of fetal anemia. Case presentation A 30-year-old woman at 21 weeks of gestation was referred to our unit with a left fetal renal agenesis and single umbilical artery diagnosis. The patient had a poorly controlled type 1 Diabetes with a booking HbA1C of 9.1%. At 31 weeks of gestation, MCA-PSV was raised (>1.5 multiples of the median) in the absence of any cause of fetal anemia and discrepancy of ventricular size with normal fetal heart function were seen. In a subsequent scan, thick interventricular septum was seen and hypertrophic cardiomyopathy (HC) was suggested. Follow-up ultrasonography showed a persistent MCA-PSV in a large for gestation age (LGA) fetus with HC. Due to the prenatal diagnosis of persistent elevated MCA-PSV in LGA fetus with diagnoses of HC in a poorly controlled type 1 diabetic patient labor was induced after fetal lung maturation. Biventricular hypertrophic cardiomyopathy was detected after birth. Conclusions HC may be an explanation for increased MCA-PSV without fetal anemia.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"51 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79541059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Scimitar syndrome – a case report 弯刀综合症-个案报告

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Case Reports in Perinatal Medicine Pub Date : 2021-01-01 DOI: 10.1515/crpm-2020-0088

L. Sá, T. Pereira, Ana B. Ferreira, A. Reis, A. Madureira, Margarida Azevedo

引用次数: 0

Successful pregnancy outcome in patient with cardiac transplantation 心脏移植患者妊娠成功的结局

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Case Reports in Perinatal Medicine Pub Date : 2021-01-01 DOI: 10.1515/crpm-2021-0041

D. Karçaaltıncaba, M. Ozdogan, E. Turgut, H. Ozdemir, G. Taçoy, G. Inan

引用次数: 0

Infrequent association of two rare diseases: amniotic band syndrome and osteogenesis imperfecta 两种罕见疾病的罕见关联:羊膜带综合征和成骨不全症

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Case Reports in Perinatal Medicine Pub Date : 2021-01-01 DOI: 10.1515/crpm-2021-0035

S. Darakci, S. Ertuğrul, S. Tanrıverdi Yılmaz, E. Ünal, İ. Yolbaş, I. Deger

引用次数: 1

Premature fetal closure of the ductus arteriosus of unknown cause – could it be influenced by maternal consumption of large quantities of herbal chamomile tea – a case report? 不明原因的胎儿动脉导管过早闭合——是否可能受到母亲大量饮用洋甘菊茶的影响——一份病例报告?

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Case Reports in Perinatal Medicine Pub Date : 2021-01-01 DOI: 10.1515/crpm-2021-0005

Edin Medjedović, Z. Begić, E. Begić, A. Iglica, N. Begić, Amela Muftić, M. Stanojevic

{"title":"Premature fetal closure of the ductus arteriosus of unknown cause – could it be influenced by maternal consumption of large quantities of herbal chamomile tea – a case report?","authors":"Edin Medjedović, Z. Begić, E. Begić, A. Iglica, N. Begić, Amela Muftić, M. Stanojevic","doi":"10.1515/crpm-2021-0005","DOIUrl":"https://doi.org/10.1515/crpm-2021-0005","url":null,"abstract":"Abstract Objectives The aim of this article was to present a case of premature fetal closure of the ductus arteriosus (DA) of unknown cause. Case presentation A 32-year-old pregnant woman came for the regular prenatal visit at 36 + 1 weeks of gestation (WG) at which oligohydramnios and premature closure of DA were revealed. Use of non-steroidal anti-inflammatory drugs was excluded by the history, although the patient had the symptoms of common cold 2 weeks before the check-up taking more than 1,000 mL of strong chamomile tea daily till the day before the prenatal visit. The patient was hospitalized at 36 + 1 weeks of gestation due to premature closure of DA and oligohydramnios (amniotic fluid index = 4.5/3), which was the indication to deliver the baby by cesarean section at 36 + 6 WG (birth weight was 2,830 g, birth length 49 cm and head circumference 34 cm, Apgar score at 1 and 5 min were 9/9). Postnatal course was uneventful, and postnatal echocardiography at 12 h of life revealed functionally closed DA and mild dysfunction of the right ventricle, which completely resolved after 7 days. The mother and the baby were discharged home healthy, and were doing well 3 months after delivery. Conclusions Although the cause of premature closure of DA in most of the cases will remain undetected, thorough history sometimes with unexpected events should be taken under the consideration as possible causative factor for premature DA closure, as was drinking of high quantities of chamomile tea in our case.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"28 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75488698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0