Epidemic hemorrhagic fever complicated with late pregnancy: A case report.

RATIONALE: Hantaviruses cause two forms of diseases in humans, namely hemorrhagic fever with renal syndrome (HFRS) and hantavirus pulmonary syndrome. Hantavirus infections can occur in pregnant women, and could influence the maternal and fetal outcomes, although this is a rare finding, even in endemic areas. PATIENT CONCERNS: In this report, we describe anunusual case involving a pregnant woman with HFRS who was in a state of shock. DIAGNOSES: Hemorrhagic fever with renal syndrome and septic shock. INTERVENTIONS: Timely termination of pregnancyalong with correction of the shock is very important to curb the inflammation and reduce organ damage. OUTCOMES: Although HFRS in pregnancy could pose a serious threat to the lives of the mother and the child. Our patient was successfully treated. LESSONS: Early and accurate diagnosis, anti-shock treatment, and timely termination of pregnancyare the key aspects of therapy for HFRS with late pregnancy.

[The efficacy of the use of surgical methods of detoxication in parturients with the hemorrhagic syndrome complicated by acute renal insufficiency]. / Effektivnost primeneniia khirurgicheskikh metodov detoksikatsii u rodilnits s gemorragicheskim sindromom, oslozhnennym ostroi pochechnoi nedostatochnostíu.

The efficacies of two methods of extracorporeal detoxication, hemodialysis and hemosorption, was assessed on the basis of the results of spectrophotometric, peptide, and biologic studies in 54 women with acute renal failure in the postpartum period caused by massive blood loss at childbirth. Both the methods were found to eliminate various toxic products from the blood serum, this justifying their application.