#MedicalCase

Full term pregnancy with Pyrexia (Critical care physician)

Dr. Sunita Kothari., MS OBSTETRICS AND GYNAECOLOGY

 

Medical Case Details:

I have seen a full term pregnant patient with pyrexia. She had CBC, TC was 11000 and N 70%. Her urine test showed RBC and pus cells 5 to 7. She had labour pain with one finger dilation along with vomiting. Symptomatic treatment was given with inj Rantac and Perinorm. Then, started inj Monocef 1 g twice a day and there was no progress for 36 hours. As the head was high up, LSCS done. Fever continues for five days and today it is 102. MP urine negative. Today we repeated CBC, TC 10,800 and Neutrophils remain 70%. The temperature is 102 degrees.

 


    Discussions


    Dr. Sunita Kothari
    Obstetrician And Gynaecologist

    Her Hb is 10.8gm%on 8/9/17

    ▲ 1
    08.Sep, 06:17pm

    Dr. Ashaq Hussain Parrey
    Rheumatologist

    Hello Doctor.
    You haven't mentioned on which day of hospital admission she developed fever, it looks like a hospital acquired infection and that is the reason why patient isn't improving with ceftraxone.
    Blood and urine culture needs to be taken and patient should be started on pipricillin tazobactum and Levofloxacin an x ray chest, ultrasonogram abdomen, will help in identifying the source of sepsis.


    ▲ 1
    08.Sep, 10:13pm

    Dr. Aurangzebl Afzal
    Nephrologist

    Following are needed
    Blood culture
    URINE culture
    Typhidot Ig M
    Malarial parasite film during fever

    If patient is not breast feeding
    Give artemether/lumfentrine bd for 3 days

    15.Oct, 10:45am




Are you a doctor?

Please Login to comment or ask a question.

New to icliniq? Sign Up Now

 

Similar Medical Cases


Q. swelling behind right ear for two months - No pain or discharge ...
Q. Endometriosis Diagnosis - Hello, this is the case of my 62-year-old female patient. Every year, she does gynecological checkups with pap smear tests, gynecological ultrasounds, ...
Q. Anemia - I have a 80 year old paraplegic woman, who has been paralyzed for 41 years. Her PCV is 22% constantly experiencing dizziness and pale++ on examination ...
Q. Benincasa hispida proven to good for Reducing CRP. - I have been given Benincasa hispida juice (100ml with 20 ml honey) in empty stomach for two weeks, in 5 cases of RA, whose CRP is very high without gi ...
Q. Gelsemium Drug Proving - Hello Homeopaths, recently I saw a 37-year-old patient who has been taking Gelsemium 200c twice a day for the last one year. Last month, he suddenly d ...
 

Also Read


 

 


Disclaimer: All medical case discussions published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.