5PSQ-024 Pharmacologic intervention by hospital pharmacist for leucopenia due to tazobactam/piperacillin in the postpartum period: a case report

Chorea gravidarum is the term given to chorea occurring during pregnancy. Here, we report a case of 24 year old primigravida at gestational age 38 weeks 3days ,without any signicant past & family history who presented with chorea gravidarum for the rst time in third trimester. On detailed evaluation no etiology was identied. On follow up in postpartum period, her choreiform movements have reduced in intensity, but is still persisting pointing towards an idiopathic origin.

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Acute pancreatitis in early postpartum period: A case report

Journal of Obstetric Anaesthesia and Critical Care ◽

10.4103/2249-4472.123312 ◽

2013 ◽

Vol 3 (2) ◽

pp. 111 ◽

Cited By ~ 1

Author(s):

Mohan Gurjar ◽

Arun Sharma ◽

Afzal Azim ◽

ArvindK Baronia

Keyword(s):

Acute Pancreatitis ◽

Case Report ◽

Postpartum Period ◽

Early Postpartum Period ◽

Early Postpartum

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Neurocysticercosis presenting as bipolar disorder: a case report

General Psychiatry ◽

10.1136/gpsych-2021-100663 ◽

2021 ◽

Vol 34 (6) ◽

pp. e100663

Author(s):

Surbhi Batra ◽

Sumit Kumar ◽

Lokesh Singh Shekhawat

Keyword(s):

Bipolar Disorder ◽

Case Report ◽

Depressive Symptoms ◽

Affective Disorder ◽

Postpartum Period ◽

Bipolar Affective Disorder ◽

Taenia Solium ◽

Manic Episode ◽

Symptoms And Signs ◽

Rule Out

Neurocysticercosis is the most common neuro-parasitosis caused by the larval stage of Taenia solium. The most common manifestations include seizures and hydrocephalus. Psychiatric abnormalities are relatively rare but depressive symptoms are frequent in patients with neurocysticercosis. However, mania as a presentation is relatively rare. Pregnancy and the postpartum period are relatively vulnerable times and they can lead to reactivation of existing neurocysterci lesions. We are discussing the case of a 23-year-old female patient with neurocysticercosis leading to the reactivation of lesions in the peripartum and postpartum period leading to bipolar affective disorder. Improvement in the patient was seen with a combination of antipsychotics, antihelmintics, antiepileptics and steroids, along with improved radiological signs of neurocysterci lesions. Although neurocysticercosis is a common illness, its prevalence presenting as a manic episode is merely 2.6% and, hence, missed easily. Therefore, it is important to rule out organic aetiology in patients even with a classic presentation of bipolar affective disorder and those having any other neurological symptoms and signs.

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Sudden Death of a Woman at Postpartum Period - Myocarditis Related with Peripartum Cardiomyopathy: Autopsy Diagnosis, Case Report

Clinical Studies & Medical Case Reports ◽

10.24966/csmc-8801/100009 ◽

2015 ◽

Vol 2 (1) ◽

pp. 1-2 ◽

Cited By ~ 1

Author(s):

Burcu Kasap ◽

Keyword(s):

Case Report ◽

Sudden Death ◽

Postpartum Period ◽

Peripartum Cardiomyopathy ◽

Autopsy Diagnosis

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Occipital Neuralgia Treated With Acupuncture: A Case Report

Global Advances in Health and Medicine ◽

10.1177/2164956119890546 ◽

2019 ◽

Vol 8 ◽

pp. 216495611989054

Author(s):

Molly Mallory ◽

Brent Bauer ◽

Tony Chon

Keyword(s):

Case Report ◽

Neck Pain ◽

Complete Resolution ◽

Acupuncture Treatment ◽

Occipital Neuralgia ◽

Single Treatment ◽

Invasive Procedures ◽

Pharmacologic Intervention ◽

Short Course ◽

Posterior Neck

We present a case report of a patient whose occipital neuralgia symptoms were substantially improved after a single acupuncture treatment with complete resolution after only a short course of care. The patient, a 78-year-old woman, presented to our institution’s neurology department with symptoms of posterior neck pain and electrical sensations in her head which had been present for more than 1 year. With a desire to avoid pharmacologic intervention or invasive procedures, the patient requested acupuncture treatment. The patient received 5 acupuncture treatments over the course of 8 days with substantial resolution of her head pain after a single treatment. This case is suggestive that acupuncture may be a beneficial treatment for patients with occipital neuralgia.

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Antepartum Mastitis: A Case Report

Infectious Diseases in Obstetrics and Gynecology ◽

10.1155/s1064744995000275 ◽

1995 ◽

Vol 3 (1) ◽

pp. 34-36 ◽

Cited By ~ 1

Author(s):

Michelle Smith-Levitin ◽

Daniel W. Skupski

Keyword(s):

Case Report ◽

Postpartum Period ◽

Maternal Morbidity ◽

Early Recognition ◽

Systemic Infection ◽

Aggressive Treatment ◽

Successful Pregnancy ◽

Local Skin ◽

Acute Mastitis ◽

Puerperal Mastitis

Background: Acute mastitis commonly occurs in the postpartum period. It has been reported only rarely in the antepartum period.Case: A 14-year-old patient presented at 29 weeks gestation with her symptoms and examination consistent with bilateral mastitis that had worsened over 2 months. She had evidence of systemic infection. She was treated with parenteral antibiotics and local skin care. She gradually improved and delivered a healthy infant at term.Conclusion: The management of antepartum mastitis can be derived from experience with puerperal mastitis. It must include early recognition, a search for predisposing factors and causative organisms, and aggressive treatment. Such an approach can lead to successful pregnancy outcome with minimal fetal or maternal morbidity.

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Idiopathic Spontaneous Hemoperitoneum During Early Postpartum Period: Case Report

Turkiye Klinikleri Journal of Medical Sciences ◽

10.5336/medsci.2011-22835 ◽

2012 ◽

Vol 32 (6) ◽

pp. 1718-1720 ◽

Cited By ~ 1

Author(s):

Abdullah BOZTOSUN ◽

Dinçer SÜMER ◽

Meral ÇETİN ◽

Ali ÇETİN

Keyword(s):

Case Report ◽

Postpartum Period ◽

Early Postpartum Period ◽

Early Postpartum ◽

Spontaneous Hemoperitoneum

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Systemic Thrombolysis for Treatment of Postpartum Saddle Embolism Complicated by Postpartum Hemorrhage: A Case Report and Brief Literature Review

Case Reports in Obstetrics and Gynecology ◽

10.1155/2021/5553296 ◽

2021 ◽

Vol 2021 ◽

pp. 1-6

Author(s):

Kathy Mostajeran ◽

Hillary Boswell ◽

Ziad Haidar

Keyword(s):

Pulmonary Embolism ◽

Case Report ◽

Postpartum Hemorrhage ◽

Postpartum Period ◽

Case Series ◽

Massive Pulmonary Embolism ◽

Thromboembolic Events ◽

Systemic Thrombolysis ◽

Venous Thromboembolic Events ◽

In Pregnancy

Venous thromboembolic events (VTE), specifically pulmonary embolisms, account for a significant portion of maternal morbidity and mortality. Due to the procoagulant physiological changes that occur, pregnancy and the postpartum period are known risk factors for thromboembolic events. The risk is greatest during the first-week postpartum and remains elevated for up to six weeks as compared to the general population. Treatment guidelines regarding the use of thrombolytics for massive pulmonary embolism occurring in pregnancy and the postpartum are not well established. In nonpregnant populations, thrombolytic agents are well known to decrease the mortality in the setting of a massive pulmonary embolism. However, in the absence of management guidelines, thrombolysis in pregnancy remains guided by case reports and case series. We present a case of a massive pulmonary embolism (PE) causing hemodynamic instability during the postpartum period treated with tissue plasminogen activator (tPA). The case was complicated by delayed postpartum hemorrhage successfully managed with the uterotonic methylergometrine. The patient was started on oral anticoagulation and continued for six months without recurrent VTE. Our case demonstrates a rare occurrence of a saddle embolism after a vaginal delivery within the first postpartum week which was successfully managed with the use of systemic thrombolysis and minimal intervention to manage the iatrogenic delayed postpartum hemorrhage. To the authors’ knowledge, no other similar case report exists. This case highlights the need to develop guidelines for the use of thrombolysis in mothers who present with massive pulmonary embolus and a noninvasive means to manage adverse bleeding events in the puerperium.

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Case Report: Reversible Cerebral Vasoconstriction Syndrome in a cancer patient using ZoladexTM

10.5327/1516-3180.142 ◽

2021 ◽

Author(s):

Paolla Giovanna Rossito de Magalhães ◽

Marina Buldrini Filogonio Seraidarian ◽

Bernardo Tardin Caetano ◽

Barbara Oliveira Paixão ◽

Tassila Oliveira Nery de Freitas ◽

...

Keyword(s):

Case Report ◽

Cerebral Angiography ◽

Postpartum Period ◽

Cerebral Arteries ◽

Superficial Temporal Artery ◽

Chronic Administration ◽

Temporal Artery ◽

Reversible Cerebral Vasoconstriction Syndrome ◽

Gnrh Analogue ◽

Cerebral Vasoconstriction

Context: The Reversible Cerebral Vasoconstriction Syndrome (SVCR) is characterized by rapid and reversible vasoconstriction and segmental dilation of cerebral arteries, usually preceded by thunderclap headache. The involvement of second and third-order branches of the cerebral arteries is the most commom finding in a cerebral angiography. This report is about a SVCR case with atypical involvement, significantly compromising extracranial vessels and raising the hypothesis of association between the use of hormonal blocker gosserelin acetate (ZoladexTM) with SVCR. Case report: Female, 39 years old, with breast cancer and bone metastasis using ZoladexTM that presented with a sudden headache and vomiting, progressing to global afasia and paresis in the right upper limb. Magnetic resonance identified hyperacute intraparenchymal hematoma in left frontoparietal convexity and subarachnoid haemorrhage. Cerebral angiography showed irregularities in the distal branches (M3 and M4) of the middle cerebral arteries, as well as in the superficial temporal artery, characterized by focal strictures. Conclusion: Studies show that hormonal fluctuations in the postpartum period can trigger SVCR due to the drop in estrogen and progesterone (gonadotropins). During postpartum, the stimulus of breastfeeding increases prolactin levels leading to GnRH suppression, which decreases the level of gonadotropins. ZoladexTM is a GnRH analogue and its chronic administration results in suppression of these hormones - similar to the postpartum period. Therefore, there may be an association of hormonal blockers with SVCR.

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