Antibiotic prophylaxis in cesarean section causing anaphylaxis and intrauterine fetal death.
Intrauterine fetal death and maternal shock occurred as a result of a type-1 hypersensitivity reaction following antibiotic prophylaxis in a cesarean section. Amniotic fluid embolism may mimic the condition. The ability to diagnose and treat such an event as early as possible is necessary in all maternity centers. The selection of antibiotic regimen and the type of anesthesia should be individualized depending upon the existing facilities and the patient's profile, especially in a resource-scarce developing country.
Sengupta
Amit
A
Department of Obstetrics and Anesthesiology, Indira Gandhi Hospital, Kavaratti, Lakshadweep, India. senguptaamit@hotmail.com
Kohli
Jasvinder K
JK
D000328:Adult; D000707:Anaphylaxis / Q000139:chemically induced*; D000900:Anti-Bacterial Agents / Q000009:adverse effects* / Q000627:therapeutic use; D019072:Antibiotic Prophylaxis / Q000009:adverse effects*; D002439:Cefotaxime / Q000009:adverse effects* / Q000627:therapeutic use; D002585:Cesarean Section / Q000379:methods; D005260:Female; D005313:Fetal Death / Q000139:chemically induced; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy
D000900:Anti-Bacterial Agents; D002439:Cefotaxime