Atypical eclampsia at primary health care in a remote area:A case report  

作　　者：Rifka Wangiana Yulia Putri Rifda El Mahroos 

机构地区：[1]Department of Medicine,Muhammadiyah University of Surakarta,Central Java,Sukoharjo 57169,Indonesia [2]Department of Physiology,The National Development Veteran University of East Java,East Java,Surabaya 60294,Indonesia

出　　处：《World Journal of Obstetrics and Gynecology》2023年第4期45-50,共6页世界妇产科杂志

摘　　要：BACKGROUND Eclampsia is a generalized tonic-clonic seizure induced by pregnancy.It contributes to a high rate of maternal and neonatal morbidity and mortality worldwide.Eclampsia is characterised by classic signs such as elevated blood pressure,proteinuria,and seizures.However,it may occur in the absence of hypertension and/or proteinuria.The uncommon appearance of eclampsia makes it difficult to immediately assess and treat it.In addition,the occurrence of this case in a remote area makes it more challenging to handle.The objective of this case report is to increase awareness of uncommon manifestations of eclampsia,particularly in limited-resource settings.CASE SUMMARY A young primigravida experienced a generalised seizure without hypertension and/or proteinuria.Sudden hearing loss,blurred vision,and vomiting were complained about before the seizure attack.The patient was diagnosed with eclampsia.A loading dose of magnesium sulphate was administered immediately.The patient was referred from community healthcare to a hospital and discharged without any complications.CONCLUSION Atypical eclampsia may be a diagnostic challenge.However,other symptoms may be beneficial,such as awareness of eclampsia signs.

关 键 词：Atypical eclampsia ECLAMPSIA Hypertension-induced pregnancy Case report 

分 类 号：R54[医药卫生—心血管疾病]