Document Detail

Viral hepatitis in pregnancy with disseminated intravascular coagulation and hypoglycemia.
MedLine Citation:
PMID:  635635     Owner:  NLM     Status:  MEDLINE    
A case of a 26-year-old woman who presented at 38 weeks of gestation with severe hepatitis B complicated by disseminated intravascular coagulation (DIC) and hypoglycemia is reported. The clinical features of the illness suggested acute fatty liver of pregnancy. Cesarean section was followed by resolution of the coagulopathy and the hypoglycemia. Both mother and infant survived and remain well. The diagnosis of hepatitis B was confirmed by a transiently positive hepatitis B surface antigen and percutaneous liver biopsy. This case emphasizes the difficulty in distinguishing acute viral hepatitis from acute fatty liver of pregnancy. In addition, the predominant features of DIC and hypoglycemia in our case are reported.
J M Shabot; C Jaynes; H M Little; J B Alperin; N Snyder
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Southern medical journal     Volume:  71     ISSN:  0038-4348     ISO Abbreviation:  South. Med. J.     Publication Date:  1978 Apr 
Date Detail:
Created Date:  1978-05-24     Completed Date:  1978-05-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  479-81     Citation Subset:  AIM; IM    
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MeSH Terms
Diagnosis, Differential
Disseminated Intravascular Coagulation / etiology
Fatty Liver / diagnosis
Hepatitis B / complications*,  diagnosis
Hypoglycemia / etiology
Pregnancy Complications / etiology
Pregnancy Complications, Hematologic / etiology
Pregnancy Complications, Infectious / complications*,  diagnosis

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