[A case study of anaphylaxis in a pregnant woman].
We report a case of anaphylaxis in a 35+5 week of pregnancy patient who came to the Emergency Room with shortness of breath, hypotension and loss on fetal wellbeing. Due to her medical history and given the clinical picture at that time, an anaphylactic shock was suggested as the most probable diagnose. The administration of dexchlorpheniramine and methylprednisolone resulted in an immediate and positive reaction. Simultaneously, an improvement in the fetus cardiotocographic record was objectified. The patient was hospitalized for 48 hours, after which she was discharged. In case of suspicion of anaphylaxis in a pregnant woman, four aspects should be handled: the severity of the anaphylaxis chart, individual complications regarding a pregnant woman, unfavorable effects of the regularly used treatment during that specific gestation, and the need of fetal extraction based of gestational age.
Karla
K
Ferreres-García
Juan
J
de León-Luis
Elena
E
Seoane
Enrique
E
García-Marqués
Cristina
C
Sanjuan
Luis
L
Ortiz-Quintana
D000328:Adult; D000707:Anaphylaxis / Q000188:drug therapy / Q000503:physiopathology*; D018926:Anti-Allergic Agents / Q000008:administration & dosage / Q000627:therapeutic use; D015148:Cardiotocography / Q000379:methods; D002744:Chlorpheniramine / Q000008:administration & dosage / Q000627:therapeutic use; D004636:Emergency Service, Hospital; D005260:Female; D005323:Fetal Monitoring / Q000379:methods; D005938:Glucocorticoids / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D008775:Methylprednisolone / Q000008:administration & dosage / Q000627:therapeutic use; D011247:Pregnancy; D011248:Pregnancy Complications / Q000188:drug therapy / Q000503:physiopathology*
D018926:Anti-Allergic Agents; D005938:Glucocorticoids; D002744:Chlorpheniramine; D008775:Methylprednisolone