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1.
Cureus ; 13(9): e18042, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34671529

RESUMO

A 32-year-old female with unexplained infertility delivered a healthy male infant at 39 weeks 0 days gestational age; the pregnancy was facilitated by in vitro fertilization. Shortly after delivery, she was found to have a morbidly adherent placenta. Attempted removal resulted in postpartum hemorrhage and ultimately hysterectomy after attempting multiple fertility preserving methods to achieve hemostatic control. Pathology results revealed a diagnosis of a 0.1 cm placenta increta (Grade 2 placental villi invasion), the least common diagnosis within the placenta accreta spectrum (PAS). Likely due to the small point of trophoblastic invasion, the diagnosis and outcome were not foreseen. This case highlights the need for additional data collection and development of standardized guidelines for the diagnosis and management of PAS, given a patient's risk factors. Current research may be limited by stigmatization surrounding infertility and reproductive-altering surgeries (e.g. hysterectomy). Additionally, counseling in all stages of pregnancy is critical to achieving the best patient-centered outcomes.

2.
J Travel Med ; 18(6): 422-4, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-22017721

RESUMO

We report an outbreak of Manchineel dermatitis and ophthalmitis in four students from North America who visited the island of Bequia, West Indies. The exposure resulted from taking shelter during a rain storm under a Manchineel tree. Manchineel exposure and ingestion can lead to severe and even fatal disease.


Assuntos
Dermatite/etnologia , Surtos de Doenças , Hippomane/efeitos adversos , Estudantes , Adulto , Região do Caribe , Dermatite/etiologia , Feminino , Humanos , Masculino , América do Norte/epidemiologia , Índias Ocidentais/etnologia , Adulto Jovem
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