Re: prolonged PP fever
From: Andrew Folley (agfolley@hotmail.com)
Fri Aug 25 14:50:35 2006
Make sure she does not have fetus in fetu!
>From: "R. Daniel Braun" <rd.braun@gmail.com>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Re: prolonged PP fever
>Date: Fri, 25 Aug 2006 12:02:06 -0500
>
>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
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