Re: prolonged PP fever
From: Betsy Hyde (elishyde@mindspring.com)
Fri Aug 25 09:00:43 2006
no
On Aug 25, 2006, at 9:41 AM, Dr Eberhard Lisse wrote:
> Did se get a transfusion?
>
> el
>
> on 8/25/06 1:42 PM art fougner, md said the following:
>> Drug fever?
>>
>> Art
>>
>> At Thu, 24 Aug 2006, Betsy Hyde wrote:
>>> G1P1 now s/p c/s for something or other in labor. Don't remember
>>> what, and don't think it is relevant to the presentation. It wasn't
>>> sepsis.
>>>
>>> Now 10 days post c/s and still spiking to 101.5. Blood cultures
>>> while
>>> spiking are neg. EKG neg. No hx travel to tropical climates.
>>>
>>> Post op course includes normal CT scan, WBC never >11.9, courses of
>>> triples (amp/gent/clinda and also amp/gent/metronidazole).
>>>
>>> Now on amp/gent/metronidazole/heparin x 36 hours and still
>>> spiking to
>>> 101.5. No localizing signs. Patient feels fine.
>>>
>>> Today's plans include MRI.
>>>
>>> Thoughts???
>>>
>>> How long does it take for septic thrombophlebitis to defervese on
>>> heparin?
>>>
>>> Anything else we should consider? I raised the possibility of
>>> valvular disease and vegetative emboli, but cultures during spikes
>>> were neg, and EKG was neg as well.
>>>
>>> Drug fever???
>>>
>>> (MFM is involved as well as the OBs in my practice..this is not a
>>> midwifery management question...)
>>>
>>> --
>>> Betsy Hyde CNM
>>> Branford, CT
>>>
>>
>> --
>> art fougner, md
>> "May The Wings of Liberty Never Lose a Feather." - Jack Burton
>
> --
> Dr. Eberhard W. Lisse \ / Obstetrician & Gynaecologist (Saar)
> el@lisse.NA el108-ARIN / * | Telephone: +264 81 124 6733 (cell)
> PO Box 8421 \ / Please send DNS/NA-NiC related e-mail
> Bachbrecht, Namibia ;____/ to dns-admin@na-nic.com.na
