Re: prolonged PP fever
From: Andrew Folley (agfolley@hotmail.com)
Fri Aug 25 15:14:19 2006
loosen your jockey shorts dan
>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 14:55:40 -0500
>
>Doesn't anyone read the case presentations? She's been on Heparin for 36
>prior to the posting of the case yesterday.
>
>Dan
>
>On 8/25/06, Andrew Folley <agfolley@hotmail.com> wrote:
>>
>>Stop the antibiotics and heparinize the patient. andrew
>>
>> >From: Betsy Hyde <elishyde@mindspring.com>
>> >Reply-To: ob-gyn-l@obgyn.net
>> >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>> >Subject: prolonged PP fever
>> >Date: Thu, 24 Aug 2006 20:08:20 -0500
>> >
>> >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
>> >
>>
>
>--
>R. Daniel Braun
>
> "The way to health is an aromatic bath and scented massage
>everyday".
> Hippocrates
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