Elevated endoxin-like factor complicating a multifetal second trimester pregnancy: treatment with digoxin-binding immunoglobulin.
We report a case of a second trimester multifetal pregnancy with preeclampsia associated with an elevated digoxin-like immune factor. Due to the remoteness from viability the patient was offered therapy with digoxin-binding immunoglobulin. No untoward maternal effects were noted.
Adair
C D
CD
Bowman Gray School of Medicine, Department of Obstetrics and Gynecology, Winston-Salem, N.C., USA.
Buckalew
V
V
Taylor
K
K
Ernest
J M
JM
Frye
A H
AH
Evans
C
C
Veille
J C
JC
D000328:Adult; D002298:Cardenolides; D004077:Digoxin / Q000097:blood* / Q000276:immunology; D005260:Female; D006801:Humans; D007140:Immunoglobulin Fab Fragments / Q000627:therapeutic use*; D011225:Pre-Eclampsia / Q000097:blood* / Q000188:drug therapy; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D011272:Pregnancy, Multiple; D012503:Saponins / Q000097:blood*
D002298:Cardenolides; D007140:Immunoglobulin Fab Fragments; D012503:Saponins; C050199:digoxin antibodies Fab fragments; C034504:digoxin-like factors; D004077:Digoxin