MOF in gravida pretermine: gestosi e/o febbre tifoidea?

Translated title of the contribution: Multiple organ failure in pre-term pregnancy: gestosis and/or typhoid fever?

C. Iermano, M. Giurbino, F. Aloj, G. Servillo, M. Pezza

Research output: Contribution to journalArticle

Abstract

The authors describe a clinical case of Multiple Organ Failure (MOF). Such a pathology was reported, at admission in ICU, in a young woman aged 26 who was in the 30th week of amenorrhoea, formerly hospitalized in Obstetrics, where she had had a Caesarean section because of the met of eclamptic crisis, after a pregnancy substantially normal. At the moment of her admission to the ICU the examination highlighted the sense organ obnubilated, the breath dyspnoic, a systolic and diastolic hypotension and a tachycardia of medium seriousness. From laboratory examinations it was possible to maintain that there was a serious anemia with white cells raised, a coagulative imbalance and above all a serious alteration of hepatic and pancreatic function. The creatininemia had increased a bit, a clear contraction of diuresis was present and a considerable metabolic acidosis had become intelled. Therefore the patient was affected by multiple organ failure. In successive days it was possible to execute an EEG that proved substantially normal, then a Computer Tomography to abdomen showed the presence of vast areas of hepatic necrosis, ascitic hemorrhagic fluid and a volume increased pancreas. Hepatitis markers proved negative, while a positive response was achieved for a typhoid infection (this result was reconfirmed many times later.) Modifying the antibiotic therapy (substituting full dose ampicillin to the cephalosporin) the clinical case was solved. Moreover, also thanks to a very good answer to antibiotic therapy, it was possible to confirm the diagnosis of typhoid fever, not gestosis.

Original languageItalian
Pages (from-to)341-344
Number of pages4
JournalMinerva Anestesiologica
Volume60
Issue number6
Publication statusPublished - Jun 1994

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Multiple Organ Failure
Typhoid Fever
Sense Organs
Anti-Bacterial Agents
Pregnancy
Ascitic Fluid
Liver
Diuresis
Amenorrhea
Cephalosporins
Ampicillin
Acidosis
Tachycardia
Cesarean Section
Abdomen
Hypotension
Hepatitis
Obstetrics
Anemia
Pancreas

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Iermano, C., Giurbino, M., Aloj, F., Servillo, G., & Pezza, M. (1994). MOF in gravida pretermine: gestosi e/o febbre tifoidea? Minerva Anestesiologica, 60(6), 341-344.

MOF in gravida pretermine : gestosi e/o febbre tifoidea? / Iermano, C.; Giurbino, M.; Aloj, F.; Servillo, G.; Pezza, M.

In: Minerva Anestesiologica, Vol. 60, No. 6, 06.1994, p. 341-344.

Research output: Contribution to journalArticle

Iermano, C, Giurbino, M, Aloj, F, Servillo, G & Pezza, M 1994, 'MOF in gravida pretermine: gestosi e/o febbre tifoidea?', Minerva Anestesiologica, vol. 60, no. 6, pp. 341-344.
Iermano, C. ; Giurbino, M. ; Aloj, F. ; Servillo, G. ; Pezza, M. / MOF in gravida pretermine : gestosi e/o febbre tifoidea?. In: Minerva Anestesiologica. 1994 ; Vol. 60, No. 6. pp. 341-344.
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