Postpartum hemolytic uremic syndrome following placental abruption.
Hemolytic uremic syndrome associated with pregnancy is a rare condition. Authors report a patient treated with corticosteroids for bronchial asthma who was afflicted by placental abruption at 24 weeks' gestation. The abruption was preceded by developing herpes zoster and by deteriorating respiratory symptoms. The induced labor was followed by anuria, acute renal failure, microangiopathic hemolytic anemia, thrombocytopenia then fever and hypertension. The patient was treated early with plasma infusion, transfusion and hemodialysis. She recovered completely after 7 weeks. This case seems to be unique inasmuch as the hemolytic uremic syndrome was preceded by prodromal illness during pregnancy and was associated with placental abruption.
Pajor
A
A
2nd Department of Obstetrics and Gynecology, Semmelweis Medical University, Budapest, Hungary.
Hintalan
A
A
Bakos
L
L
Lintner
F
F
D000037:Abruptio Placentae / Q000150:complications*; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D001249:Asthma / Q000188:drug therapy / Q000276:immunology*; D001803:Blood Transfusion; D005260:Female; D006463:Hemolytic-Uremic Syndrome / Q000150:complications* / Q000628:therapy; D006801:Humans; D016867:Immunocompromised Host; D007262:Infusions, Intravenous; D010949:Plasma; D011247:Pregnancy; D011248:Pregnancy Complications / Q000276:immunology*; D011262:Pregnancy Trimester, Second; D006435:Renal Dialysis
D000305:Adrenal Cortex Hormones