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Case Report

Ann Med Res. 2015; 22(1): 40-43


HELLP Syndrome with Long-Lasting Severe Sepsis: A Case Report

Birsen Dogu, Mahmut Arslan, Gokce Gisi, Selma Guler, Hafize Oksuz, Cengizhan Yavuz, Seyma Bahar, Arzu Uygungelen.

Abstract
Preeclampsia is a disease manifesting itself in the second half of pregnancy, and characterised by hypertension and proteinuria. It affects
5% to 7% of pregnant women all over the world making it the most common cause of maternal and fetal morbidity and mortality. HELLP
syndrome (Hemolysis-Elevated Liver enzymes-Low Platelets) occurs in about 4%-20% of the preeclamptic pregnant women and it is often
associated with high maternal and perinatal morbidity and mortality rates. HELLP syndrome may require monitoring in the intensive care
unit because of the increased morbidity and mortality rates it brings about as a result of potential complications such as acute respiratory
distress syndrome (ARDS), intracerebral hemorrhage, acute renal failure, hepatic rupture, disseminated intravascular coagulation, and
septic shock. We aim to present the case story of a long-lasting but successful postoperative treatment for severe sepsis of a patient with
HELLP syndrome who was monitored in our intensive care unit after a caesarean section.

Key words: Pre-eclampsia; HELLP Syndrome; Maternal Morbidity And Mortality; Sepsis; Thrombocytopenia.



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