Sublingual misoprostol and hyperpyrexia: case report with temperature curve

BACKGROUND: Misoprostol has a wide range of applications in obstetrics and gynaecology. It is widely recommended by WHO, FIGO and ACOG for the treatment of postpartum haemorrhage due to it safety and cost-effectiveness. However, usage might be associated to hyperpyrexia and shivering. CASE PRESENTAT...

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Detalles Bibliográficos
Autores principales: Tolefac, Paul Nkemtendong, Minkande, Jacqueline Ze
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5530510/
https://www.ncbi.nlm.nih.gov/pubmed/28747212
http://dx.doi.org/10.1186/s13104-017-2661-2
Descripción
Sumario:BACKGROUND: Misoprostol has a wide range of applications in obstetrics and gynaecology. It is widely recommended by WHO, FIGO and ACOG for the treatment of postpartum haemorrhage due to it safety and cost-effectiveness. However, usage might be associated to hyperpyrexia and shivering. CASE PRESENTATION: We present a 30 year old Cameroonian female gravida 1 para 1 who had a vaginal delivery at 40 weeks of gestation complicated by primary postpartum haemorrhage (PPH). PPH was managed by sublingual misoprostol that induced shivering and hyperpyrexia managed successfully with paracetamol and cooling. CONCLUSIONS: The occurrence of fever and shivering should be kept in mind when administering misoprostol for PPH.

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