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(Fever postpartum)
1,009 results
  • The Evaluation and Management of Toxic Shock Syndrome in the Emergency Department: A Review of the Literature. [Journal Article]
  • JEJ Emerg Med 2018 Jan 20
  • Gottlieb M, Long B, Koyfman A
  • CONCLUSIONS: The most common etiologic agents are Staphylococcus aureus and Streptococcus pyogenes. Sources of TSS include postsurgical wounds, postpartum, postabortion, burns, soft tissue injuries, pharyngitis, and focal infections. Symptoms are due to toxin production and infection focus. Early symptoms include fever, chills, malaise, rash, vomiting, diarrhea, and hypotension. Diffuse erythema and desquamation may occur later in the disease course. Laboratory assessment may demonstrate anemia, thrombocytopenia, elevated liver enzymes, and abnormal coagulation studies. Diagnostic criteria are available to facilitate the diagnosis, but they should not be relied on for definitive diagnosis. Rather, specific situations should trigger consideration of this disease process. Treatment involves intravenous fluids, source control, and antibiotics. Antibiotics should include a penicillinase-resistant penicillin, cephalosporin, or vancomycin (in methicillin-resistant S. aureus prevalent areas) along with either clindamycin or linezolid.TSS is a potentially deadly disease requiring prompt recognition and treatment. Focused history, physical examination, and laboratory testing are important for the diagnosis and management of this disease. Understanding the evaluation and treatment of TSS can assist providers with effectively managing these patients.
  • Implementation of vaginal cleansing prior to cesarean delivery to decrease endometritis rates. [Journal Article]
  • JMJ Matern Fetal Neonatal Med 2018 Jan 17; :1-6
  • Felder L, Paternostro A, … Berghella V
  • CONCLUSIONS: Implementation of a protocol for vaginal cleansing prior to cesarean delivery in women with ruptured membranes or in labor has high uptake, but in almost a third of eligible women it was not performed. The implementation, has led to a clinical, although not statistical, decrease in postoperative endometritis. Continued research is needed to explore how to improve uptake of this quality improvement measure.
  • [Miliary tuberculosis]. [Journal Article]
  • RPRev Pneumol Clin 2018; 74(1):28-34
  • Zaghba N, El Hachimi K, … Yassine N
  • CONCLUSIONS: We insist on this work on the severity of the tuberculous miliary and the need for early and urgent therapeutic management.
  • Diagnosis and management of postpartum ovarian vein thrombosis. [Review]
  • HAHematology Am Soc Hematol Educ Program 2017 Dec 08; 2017(1):168-171
  • Bannow BTS, Skeith L
  • A 26-year-old woman experienced persistent fever (39.5°C), chills, and right-lower-quadrant tenderness 3 days after caesarean delivery. A computed tomography (CT) scan of the abdomen and pelvis with ...
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