| Molecular adsorbent recirculating system in dealing with maternal Amanita poisoning during the second pregnancy trimester: a case report. | |
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MedLine Citation:
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PMID: 14969861 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: A 27-year-old woman in her 20th week of pregnancy was hospitalized because of food poisoning caused by Amanita phalloides. METHODS: Previously extracorporeal purification treatments with 2 times of hemodialysis plus hemoperfusion and a high volume therapeutic plasma exchange (PE) in addition to intensive medication during the first 8 days failed to improve hepatic encephalopathy (HE) and liver function but developed deep coma with severe blood chemistry and signs of threatened abortion. RESULTS: Treatments with intermittent molecular adsorbent recirculating system (MARS) for 3 times resulted in an immediate improvement of liver function and clinical symptoms including HE and threatened abortion until her fully recovery. When the life-threatening maternal illness was cured gestation went on until premature birth at the 36th week of pregnancy, and the infant underwent an undisturbed development. CONCLUSION: MARS method appears to be an optimal therapy for patients with acute liver failure secondary to cytoxic mushroom poisoning during pregnancy. |
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Authors:
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Bang-Fu Wu; Min-Min Wang |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Hepatobiliary & pancreatic diseases international : HBPD INT Volume: 3 ISSN: 1499-3872 ISO Abbreviation: HBPD INT Publication Date: 2004 Feb |
Date Detail:
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Created Date: 2004-02-18 Completed Date: 2004-06-15 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 101151457 Medline TA: Hepatobiliary Pancreat Dis Int Country: China |
Other Details:
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Languages: eng Pagination: 152-4 Citation Subset: IM |
Affiliation:
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Department of Gastroenterology, Guangzhou 12th Municipal People's Hospital, China. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Amanita* Combined Modality Therapy Female Follow-Up Studies Hemoperfusion / methods Humans Mushroom Poisoning / diagnosis*, therapy* Plasma Exchange / methods Pregnancy Pregnancy Complications / diagnosis*, therapy Pregnancy Outcome* Pregnancy Trimester, Second Renal Dialysis / methods Risk Assessment Severity of Illness Index Sorption Detoxification / methods* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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