A Case report of atypical preeclampsia with severity criteria for hydatidiform complete mole

Abstract

Background: Preeclampsia is defined as the elevation of blood pressure levels and any of the following severity criteria: proteinuria, thrombocytopenia, elevation of creatinine in the absence of another renal pathology, elevation of transaminases, pulmonary oedema or neurological symptoms. This after 20 weeks of gestation in a previously normotensive patient, however, cases of preeclampsia have been described in patients with less than 20 weeks of gestation associated with molar pregnancy. Case description: A 26-year-old woman, with 14.1 weeks of gestation, is admitted with in the lower extremities, facial oedema, holocranial headache, nausea, epigastralgy, phosphenes and photophobia, with double-length uterine fundus for gestational age and ultrasound. obstetrician who showed image in snowflake, without foetus and annexes with multiple thecal-lutein cysts. Atypical preeclampsia was identified with severity data for complete hydatidiform mole. Conclusion. Given the possibility of serious complications that may endanger the life of the maternal-foetal binomial, atypical forms of presentation of preeclampsia should be suspected.

Acute Myocardial Injury Assessed by High-Sensitivity Cardiac Troponin I Levels in Adult Patients with Early Sepsis at a Tertiary Referral Center in Mexico: An Exploratory Study

“…Sepsis-induced myocardial dysfunction is recognized as a major contributor to the persistent hemodynamic instability in patients with septic shock [20], with a potentially deleterious contributing effect on the clinical outcome and hospital mortality.…”