RESUMO
Amniocentesis is a routine technique for prenatal diagnosis. The incidence of severe intra-amniotic infection is very low. We report a case of septic shock following an amniocentesis in a 34-year-old women. Patient admitted in intensive care unit and need mechanical ventilation and vasoactives drugs to control hemodynamic pertubation. Bacteriological data showed positive polymicrobial blood cultures to Klebsiella pneumoniae and Enterobacter. The patient gradually improved, however her renal function was still impaired and she was discharged three months after admission.
Assuntos
Amniocentese/efeitos adversos , Choque Séptico/etiologia , Adulto , Bacteriemia/etiologia , Bacteriemia/microbiologia , Enterobacter/isolamento & purificação , Infecções por Enterobacteriaceae/sangue , Feminino , Humanos , Infecções por Klebsiella/sangue , Klebsiella pneumoniae/isolamento & purificação , Gravidez , Choque Séptico/microbiologiaRESUMO
Metformin poisoning is not common and is usually associated with lactic acidosis and acute hepatitis. A case of metformin-poisoning associated with acute pancreatitis is reported here for the first time.
Assuntos
Hipoglicemiantes/intoxicação , Metformina/intoxicação , Pancreatite/induzido quimicamente , Doença Aguda , Adulto , Amilases/sangue , Feminino , Humanos , Lipase/sangue , Pancreatite/fisiopatologia , Pancreatite/terapia , Tentativa de SuicídioRESUMO
Intoxications with ferrous compounds are uncommon but ferrous sulphate is most frequently involved. Ferrous fumarate is less toxic than ferrous sulphate. Two cases of ferrous fumarate poisoning that resulted in digestive mucosal lesions are reported.