Open AccessAtypical Pre-eclampsia With Severe Features: A Case Report
Author(s) -
Abdullahi Abubakar Fakku,
M. Abdulrahman,
Bello Aminu,
A Panti,
Ibrahim Aliyu,
Abubakar Shehu Akuyam
Publication year - 2020
Publication title -
annals of clinical and experimental medicine
Language(s) - English
Resource type - Journals
ISSN - 2714-4666
DOI - 10.47838/acem.26011977.127122020.asmeda.1.6
Subject(s) - preeclampsia , medicine , eclampsia , proteinuria , presentation (obstetrics) , obstetrics , pediatrics , pregnancy , gestation , genetics , biology , kidney
Background: Many rural areas, especially in developing world, the providers of obstetric care are either family physicians or general practitioners and most of these obstetric emergencies are seen in rural areas. Typical preeclampsia could be easily diagnosed due to it classical triad of maternal hypertension after 20 weeks and before 48 hours post-delivery, proteinuria and oedema. For atypical preeclampsia the diagnosis is usually missed due to its vague nature of presentation. The classical triad features may be absent and hence delayed in the management. Most cases of atypical preeclampsia are associated with high risk of maternal/foetal morbidity and mortality. Objective: The purpose of this case report is to update the knowledge of health care providers on the sundry presentation of atypical preeclampsia. Case summary: This report, describes a unique case of atypical preeclampsia, in which a normotensive primigravida at 37 weeks gestation, presented with severe headache and sudden loss of eyesight, with spot urine protein/creatinine ratio of 1.2, abnormal quadruple analytes (human chorionic gonadotrophin, alpha foetoprotein, inhibin -A and unconjugated oestriol ), platelets count of 96,700 per micro liter and packed cell volume of 24%. Conclusion: Absence of one or two of triad components should not preclude diagnosing preeclampsia, provided there are other features of organs/systems involvement.