RESUMEN

In their severest forms, pre-eclampsia and eclampsia may be life-threatening complications of pregnancy. We describe a patient with severe post-partum eclampsia characterized by seizures, deep coma, hypertension, renal insufficiency, coagulopathy, and microangiopathic hemolysis. The patient responded to treatment that included intensive plasma exchange, and she achieved full recovery. Our case supports the use of plasma exchange in patients with severe pre-eclampsia and eclampsia.

Asunto(s)

Eclampsia/terapia , Intercambio Plasmático , Trastornos Puerperales/terapia , Adulto , Transfusión Sanguínea , Cesárea , Terapia Combinada , Dexametasona/uso terapéutico , Femenino , Humanos , Sulfato de Magnesio/uso terapéutico , Manitol/uso terapéutico , Nitroprusiato/uso terapéutico , Fenitoína/uso terapéutico , Complicaciones Posoperatorias , Embarazo , Embarazo Múltiple , Púrpura Trombocitopénica Trombótica , Diálisis Renal