Severe postpartum sepsis with prolonged myocardial dysfunction: A case report

被引：1

作者：

Mazzeffi M.A. ^{[1
]}

Chen K.T. ^{[2
]}

机构：

[1] Department of Anesthesiology Mount Sinai, School of Medicine, New York, NY 10029

[2] Department of Obstetrics and Gynecology, Mount Sinai School of Medicine, New York, NY 10029

来源：

Journal of Medical Case Reports | / 4卷 / 1期

关键词：

Septic Shock; Severe Sepsis; Myocardial Dysfunction; Systolic Heart Failure; Transthoracic Echocardiogram;

D O I：

10.1186/1752-1947-4-318

中图分类号：

学科分类号：

摘要：

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. © 2010 Mazzeffi and Chen; licensee BioMed Central Ltd.

引用

共 16 条

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