Re: prolonged PP fever
From: R. Daniel Braun (rd.braun@gmail.com)
Fri Aug 25 09:36:20 2006
I concur with all of our previously responding experts. Except that some of
them missed that she had already been on heparin for 36 hours.
The vast majority will defervesce in 48 hours or less. If they don't, they
either have a diferent diagnosis or such a large lesion that they will show
up on CT scan and probably require surgery.
Dan
On 8/25/06, Betsy Hyde <elishyde@mindspring.com> wrote:
>
> 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
>
--
R. Daniel Braun
"The way to health is an aromatic bath and scented massage everyday".
Hippocrates
