Document Detail


Anaphylaxis to cefazolin during labor secondary to prophylaxis for group B Streptococcus: a case report.
MedLine Citation:
PMID:  16967637     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Anaphylaxis is an uncommon event during pregnancy, but if it does arise, it can lead to serious fetal consequences even if there are no serious long-term maternal complications. CASE: A parturient developed anaphylaxis in the labor unit shortly after intravenous cefazolin chemoprophylaxis had begun for perinatal group B streptococcal disease. Prompt treatment for anaphylaxis commenced, involving the administration of epinephrine and glucocorticoids, and an emergency cesarean section spared the mother serious morbidity, with a favorable perinatal outcome for the fetus. CONCLUSION: To the best of our knowledge, this case is the first reported one of anaphylaxis to cefazolin in pregnancy secondary to prophylaxis against for B Streptococcus. The case demonstrates that a life-threatening anaphylactic reaction can occur at any time during pregnancy and that all staff in a maternal unit should be familiar with the management of perinatal anaphylaxis.
Authors:
Mei-Shan Jao; Po-Jen Cheng; Sheng-Wen Shaw; Yung-Kuei Soong
Related Documents :
8066477 - Mild pregnancy-induced hypertension at term.
18380627 - Cost-effectiveness of ritodrine and fenoterol for treatment of preterm labor in a low-m...
20583937 - Effects of intrapartum epidural analgesia at high altitudes: maternal, fetal, and neona...
32107 - Pregnancy and labor in tanzanian primigravidae aged 15 years and under.
7306477 - The intraventricular conduction time of fetal heart in pregnancies complicated by rhesu...
12884437 - Antenatal onset of cortical hyperostosis (caffey disease): case report and review.
Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  51     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-09-13     Completed Date:  2007-07-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  655-8     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, 5, Fu-Shin Street, Kwei-Shan, Tao-Yuan, 333 Taiwan, ROC.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Anaphylaxis*
Anti-Bacterial Agents / immunology*,  therapeutic use
Antibiotic Prophylaxis
Cefazolin / immunology*,  therapeutic use
Cesarean Section
Emergencies
Female
Humans
Obstetric Labor Complications / chemically induced*,  immunology
Pregnancy
Pregnancy Outcome
Streptococcal Infections / drug therapy,  prevention & control*
Streptococcus agalactiae*
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 25953-19-9/Cefazolin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Pregnancy outcomes in women with mechanical heart valves.
Next Document:  Natural history of an untreated presumed hydatidiform mole: a case report.