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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Ruano, Rodrigo Dejong, Stephanie Shamshirsaz, Alireza A. Salmanian, Bahram |
| Description | Author Affiliation: Dejong S ( Department of obstetrics and gynecology, Mayo clinic, Rochester, Minnesota.); Salmanian B ( Baylor College of Medicine, Houston, Texas, USA.); Shamshirsaz AA ( Baylor College of Medicine, Houston, Texas, USA.); Ruano R ( Baylor College of Medicine, Houston, Texas, USA.) |
| Abstract | Prenatal pertussis has become a concern once again with the reappearance of the disease in the USA. A 30-year-old mother whose pregnancy was complicated with fetal arrhythmia was referred for further evaluation in the third trimester. After initial treatment with antiarrhythmic medications due to continued irregular rhythm, she was revisited for persistent hacking cough at 38â weeks gestational age. PCR examination confirmed pertussis diagnosis. Owing to increased risk of digoxin toxicity with concurrent antibiotic administration, antiarrhythmic medication was discontinued. Delivery was induced 2â days after the initiation of azithromycin therapy to prevent the transmission of the disease to the neonate. A well-planned delivery in a patient with prenatal diagnosis prevents neonatal infection while considering the obstetrical dilemma for concurrent management of the intrauterine arrhythmia and antibiotic administration. |
| Volume Number | 2015 |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Fetal Diseases Therapy Pregnancy Complications, Infectious Tachycardia, Supraventricular Whooping Cough Adult Echocardiography, Doppler Female Humans Infant, Newborn Pregnancy Pregnancy Outcome Prenatal Care Ultrasonography, Prenatal Case Reports Journal Article Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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