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- Title
Late postpartum preeclampsia induced acute pulmonary edema, a rare presentation of a common disease: A case report.
- Authors
Rua, João; Costa, Joana; Leite, José; Marques, Ricardo; Queiró, Joana; Fortuna, Jorge; Rodrigues, Adriano
- Abstract
Preeclampsia is a disorder of widespread vascular endothelial dysfunction and vasospasm associated with pregnancy. It can occur from the 20th week to 4-6 weeks postpartum, resulting in hypertension, proteinuria and, in severe cases, end-organ damage and death. A 31-year-old puerpera enters the emergency room with complaints of dyspnea and leg edema, two weeks after the delivery. She was polipneic and hypertensive, had vascular congestion on thorax x-ray, elevated d-dimers and NT-proBNP. Meanwhile pulmonary embolism was suspected, she developed an acute pulmonary edema. Exams excluded embolism and cardiac abnormalities. New onset proteinuria allowed to diagnose a severe postpartum preeclampsia. About 5.7% of preeclampsia occurs in the postpartum but this is sometimes neglected. As progression to eclampsia isn't influenced by control of hypertension or severe symptoms and seizure complications are a major cause of morbimortality, its recognition and institution of prophylaxis with magnesium sulphate is crucial.
- Subjects
PREECLAMPSIA; PULMONARY edema; ENDOTHELIUM diseases
- Publication
Emergency Care Journal, 2018, Vol 14, Issue 1, p14
- ISSN
1826-9826
- Publication type
Case Study
- DOI
10.4081/ecj.2018.7240