A complex obstetric case.

J Intensive Care Soc

Department of Anaethesia and Intensive Care, Lister Hospital, London, UK.

Published: August 2017

A 33-year-old primigravida presented with severe sepsis, severe pre-eclampsia, peripartum cardiomyopathy and the haemolysis, elevated liver enzymes and low platelets syndrome manifesting over the course of 24 h causing a diagnostic conundrum and a difficult sequence of physiological problems to overcome. We describe a previously unreported sequence of events involving a pre-eclamptic, septic parturient to improve anaesthetic and intensive care physician awareness of confounding factors that complicate assessment and management of these patients.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5665137PMC
http://dx.doi.org/10.1177/1751143717700910DOI Listing

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