A case of pregnancy complicated with hemophagocytic syndrome
A case of pregnancy complicated with hemophagocytic syndrome(HPS)with fever com-bined with anemia as the first symptom was admitted to our hospital.The patient was 26 years old,31+5 weeks pregnant,3 pregnancies and 2 births.The patient experienced unexplained fever,anemia,and thrombo-cytopenia.After admission,extensive tests confirmed a diagnosis of secondary HPS,and she was treated with dexamethasone and intravenous immunoglobulin.Following consultations with the departments of hematolo-gy,obstetrics,and neonatology,it was determined that fetal lung maturation was complete.The patient under-went a lower segment cesarean section.Both the patient and the newborn were in good general condition post-operatively.The patient was then transferred to the hematology department for further treatment of HPS and underwent one course of treatment with dexamethasone and etoposide.A follow-up examination of her bone marrow,coagulation profile,and complete blood count showed good recovery,and she was discharged.The pa-tient remained well at a two-week post-discharge outpatient follow-up.
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