title: Anaphylactoid reaction to hydroxyethylstarch during cesarean delivery in a patient with HELLP syndrome.
abstract: This case report describes an allergic reaction attributed to colloid administration before a semi-urgent cesarean delivery. The most challenging part of this event was related to the anesthetic and obstetric treatment options to avoid further compromise of both mother and fetus.
authors.affiliation: Department of Anesthesia University Hospital Antwerp, Edegem, Belgium.
authors.forename: Marcel P
authors.initials: MP
authors.lastname: Vercauteren
authors.forename: Hilde C
authors.initials: HC
authors.lastname: Coppejans
authors.forename: Luc
authors.initials: L
authors.lastname: Sermeus
mesh_terms: D000328:Adult; D000707:Anaphylaxis / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D000775:Anesthesia, Spinal; D001772:Blood Cell Count; D002585:Cesarean Section; D004342:Drug Hypersensitivity / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D005260:Female; D017359:HELLP Syndrome / Q000150:complications*; D006801:Humans; D006895:Hydroxyethyl Starch Derivatives / Q000009:adverse effects*; D007231:Infant, Newborn; D010952:Plasma Substitutes / Q000009:adverse effects*; D010976:Platelet Count; D011247:Pregnancy
chemical_list: D006895:Hydroxyethyl Starch Derivatives; D010952:Plasma Substitutes