怀孕期间的湿疹伤寒 - 对母亲和胎儿的后果构成威胁
Anupama Bahadur1, Rajlaxmi Mundhra1, Anjali Pathak1
1Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Journal of family medicine and primary care
|April 12, 2024
概括
怀孕期间的湿疹伤寒很少见,但早期诊断和阿兹胺治疗可以改善结果. 这一案例系列强调了潜在的孕产妇和胎儿并发症,强调了在流行地区需要提高认识的必要性.
科学领域:
- 传染性疾病 传染性疾病
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 草风,一种由Orientia tsutsugamushi引起的急性发烧性疾病,是由形虫传播的.
- 怀孕期间灌木伤寒的发病率很低,临床结果的数据有限.
- 像印度乌塔拉罕德邦 (Uttarakhand) 这样的特有地区报告了灌木疹,需要对孕妇群体提高认识.
研究的目的:
- 为了呈现临床病例的灌木伤寒并发症怀孕.
- 为了描述怀孕妇女的管理和结果与草皮伤寒.
- 为了为关于怀孕期间冲刷伤寒的有限文献做出贡献.
主要方法:
- 分析了五名怀孕妇女的病例系列,他们被怀疑患有发烧性疾病.
- 诊断工作包括排除其他感染和特定的血清学,用于擦伤伤寒.
- 治疗涉及阿齐思罗米,这是推用于草伤寒的选择药物.
主要成果:
- 所有五名患者都出现了长期的发烧性疾病和咳;其他发烧调查结果是负面的.
- 在所有病例中,scrub typhus 血清学结果均为阳性,证实了诊断.
- 结果各不相同:一个孕产妇死亡率,一个早产,一个子宫内胎儿死亡,以及三个有良好周围生育结果的分娩.
结论:
- 怀孕期间的湿疹伤寒会导致严重的孕产妇和胎儿并发症,包括死亡率.
- 早期诊断和迅速治疗阿齐思罗米对于有利的孕产妇和胎儿预后至关重要.
- fulminant 呈现的罕见性和潜在性强调了在特有地区需要加强临床警的必要性.
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