Grau, Gemma and Giménez, Oriol and Pons, Nuria and Cairó, Mireia and Almagro, Pedro (2019) Immunoglobulin Treatment in Severe Ovarian Hyperstimulation Syndrome. European Journal of Case Reports in Internal Medicine, 6 (10). ISSN 2284-2594
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Abstract
A 32-year-old woman undergoing an in vitro fertilization program was admitted to our hospital with the diagnosis of severe ovarian hyperstimulation syndrome (OHSS). Transvaginal ultrasonography showed two gestational sacs. Treatment with fluid restriction, serum albumin and intravenous furosemide was started, and repeated thoracentesis and paracenteses were performed. In the absence of clinical improvement, the patient was transferred to the intensive care unit and a therapeutic abortion was suggested. Due to the similarities between OHSS and idiopathic systemic capillary leak syndrome, we offered the patient compassionate treatment with intravenous immunoglobulins. After administration, the patient showed rapid improvement and we were able to suspend intravenous furosemide and serum albumin. She was discharged, and pregnancy has continued normally to date.
| Item Type: | Article |
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| Uncontrolled Keywords: | Severe ovarian hyperstimulation syndrome, immunoglobulins |
| Subjects: | 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Chiara D'Arpa |
| Date Deposited: | 19 Nov 2020 09:12 |
| Last Modified: | 19 Nov 2020 09:12 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/19529 |
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