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Puerperal streptococcal toxic shock syndrome treated with recombinant human activated protein C and intravenous

S Al-Rawi1, L J Woodward, J Knight

  • 1Shackleton Department of Anaesthesia, Southampton University Hospital NHS Trust, Southampton, UK. sarmeen2@hotmail.com

International Journal of Obstetric Anesthesia
|February 7, 2009
PubMed

Group A streptococcal sepsis is an uncommon management challenge and has a potentially fulminate course. We present the case of a 25-year-old woman who, within 24h of spontaneous vaginal delivery at 32 weeks of gestation, developed signs of systemic infection and multi-organ failure requiring admission to the intensive care unit. Recombinant human activated protein C and intravenous immunoglobulin were used; subsequently heparin-induced thrombocytopenia and pulmonary embolus also required treatment.

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