Vertebral Osteomyelitis in Pregnancy from a Methicillin-resistant Staphylococcus Aureus Vulvar Abscess. A Case Report.

Background: Osteomyelitis is a rare problem in pregnancy but can present challenges for diagnosis and treatment. This case report describes a patient with a history of vulvar abscess who developed methicillin-resistant Staphylococcus aureus (MRSA) bacteremia and osteomyelitis during pregnancy.

Case: A 20-year-old woman, gravida 1, at 33 weeks' gestation, developed sepsis from MRSA bacteremia after a vulvar abscess drainage.

Airway pressure release ventilation and respiratory failure during pregnancy. A report of three cases.

Background: Acute respiratory distress syndrome is a rare complication during pregnancy but remains dificult to manage, with a high incidence of maternal mortality.

Cases: We present 3 cases of respiratory failure and severe pulmonary disease managed with airway pressure release ventilation, among other ventilatory modes, with improved ventilation.

Conclusion: Airway pressure release ventilation may be an important option as a ventilatory mode for management of maternal respiratory failure during pregnancy.

Evaluating ventricular function with B-type natriuretic peptide in obstetric patients.

Objective: To determine if a rapid serum assay for B-type natriuretic peptide (BNP) provides information regarding ventricular function in obstetric patients with acute dyspnea.

Study Design: A review of 17 charts for 15 patients was undertaken. Seven patients had preeclampsia, 3 had preterm labor treated with aggressive tocolysis, and 5 had underlying cardiac and/or pulmonary disease.

Hyperemesis gravidarum: outcomes and complications with and without total parenteral nutrition.

Objective: To evaluate the obstetric and medical complications with hyperemesis gravidarum, comparing those who were supported with total parenteral nutrition (TPN group) and those who did not receive TPN (non-TPN group).

Study Design: The medical records of women with a diagnosis of hyperemesis gravidarum (ICD-9 code 643) admitted to Crouse Hospital, Syracuse, New York, between January 1995 and December 1998, were reviewed. A total of 166 subjects were identified and 192 admissions reviewed.

Poorly differentiated large cell adenocarcinoma of the lung metastatic to the placenta: a case report.

Background: Cancer is an uncommon diagnosis during pregnancy. Advanced disease is unusual; metastasis to the placenta is exceptionally rare. Primary cancers that have been reported to produce placental metastasis include melanoma, breast, hematologic and lung.