ISSN 1941-5923

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American Journal of Case Reports have been selected for the ESCI - Emerging Sources Citation Index (Thomson Reuters, Web of Science, ISI), launching in November of 2015 as a new edition of the Web of Science.

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Published: 2016-07-01

Two Obese Patients with Presumptive Diagnosis of Anaphylactoid Syndrome of Pregnancy Presenting at a Community Hospital

Brian K. Kradel, Scarlett B. Hinson, Carr J. Smith

(Nurse Anesthesia Program, Florida State University, Panama, FL, USA)

Am J Case Rep 2016; 17:444-447

DOI: 10.12659/AJCR.897984


BACKGROUND: Anaphylactoid syndrome of pregnancy (ASP) is a rare but extremely serious complication, with an estimated incidence in North America of 1 in 15 200 deliveries. Despite its rarity, ASP is responsible for approximately 10% of all childbirth-associated deaths in the United States. At present, there is no validated biomarker or specific set of risk factors sufficiently predictive of ASP risk to incorporate into clinical practice. Toward the goal of developing a methodology predictive of an impending ASP event for use by obstetricians, anesthesiologists, and other practitioners participating in infant deliveries, physicians encountering an ASP event have been encouraged to report the occurrence of a case and its biologically plausible risk factors. 
CASE REPORT: Herein, we report on 2 patients who presented with a presumptive diagnosis of ASP to the delivery unit of a community hospital. Patient One was a 21-year-old, obese (5’11” tall, 250 lbs., BMI 34.9) white female, 1 pregnancy, no live births (G1P0), estimated gestational age (EGA) 40.2 weeks. Patient Two was a 29-year-old, obese (5’7” tall, 307 lbs., BMI 48.1) Hispanic female, second pregnancy, with 1 previous live birth via C-section (G2P1-0-0-1). Her pregnancy was at gestational age 38 weeks plus 2 days.
CONCLUSIONS: Patient One had 2 possible risk factors: administration of Pitocin to induce labor and post-coital spotting from recent intercourse. Patient Two suffered premature rupture of the placental membranes. Both Patient One and Patient Two had very high body mass indices (BMIs), at the 97th and 99th percentiles, respectively. In the relatively few cases of anaphylactoid... read more

Keywords: Embolism, Amniotic Fluid, Pregnancy Complications, Cardiovascular, Pregnancy Complications, Hematologic




Published: 2016-06-29

A Rare Case of Ascites due to Peritoneal Amyloidosis


Fernanda Stofer, Maria Fernanda Barretto, Ana Luisa Gouvea, Mario Ribeiro, Marcio Neves, Ronaldo Altenburg Gismondi, Luís Otavio Mocarzel

Am J Case Rep 2016; 17:439-443

DOI: 10.12659/AJCR.898357

Published: 2016-06-27

Successful Treatment of Pyoderma Gangrenosum with Cryoglobulinemia and Hepatitis C


Mohsen Pourmorteza, Fady Tawadros, Gilbert Bader, Mohamed Al-Tarawneh, Emilie Cook, Wael Shams, Mark Young

Am J Case Rep 2016; 17:434-438

DOI: 10.12659/AJCR.898611