Peri-partum Thrombotic thrombocytopenic purpura - A 29 years old pregnant lady presented with convulsion and thrombocytopenia

Authors

  • Farhana Huq Tushi Resident Medical Officer, Department of CCM, Asgar Ali Hospital
  • Md Motiul Islam Consultant, Department of CCM, Asgar Ali Hospital
  • Tarikul Hamid Consultant, Department of CCM, Asgar Ali Hospital
  • Mohammad Rabiul Halim Consultant, Department of CCM, Asgar Ali Hospital
  • Kazi Nuruddin Ahmed Associate Consultant, Department of CCM, Asgar Ali Hospital
  • Rajib Hasan Junior Consultant, Department of CCM, Asgar Ali Hospital
  • AHM Hafizur Rahman Specialist, Department of CCM, Asgar Ali Hospital
  • Salman Saifi Resident Medical Officer, Department of CCM, Asgar Ali Hospital.
  • Rahatul Jannat Nishat Assistant Professor, Department of Physiology, Asgar Ali Medical College

DOI:

https://doi.org/10.3329/bccj.v12i1.72406

Keywords:

ADAMTS 13, Convulsion, Fresh Frozen Plasma, Thrombotic thrombocytopenic purpura, Therapeutic Plasma exchange

Abstract

Thrombotic thrombocytopenic purpura associated with pregnancy is a rare antibody‐mediated thrombotic microangiopathy with high maternal and fetal mortality. We present a 29-year-old Bangladeshi pregnant lady of 32 weeks of gestation who presented to a tertiary care hospital with multiples episodes of generalized convulsion. She was immediately transferred to the operation theatre and after delivery of her baby, she was transferred to ICU. Her reports revealed features of hemolytic anemia, thrombocytopenia and renal failure. She was suspected as a case of Thrombotic thrombocytopenic purpura and received therapeutic plasma exchange. Her condition gradually improved and she was discharged to home in stable condition.

Bangladesh Crit Care J March 2024; 12 (1): 68-71

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Published

2024-04-04

How to Cite

Farhana Huq Tushi, Md Motiul Islam, Tarikul Hamid, Mohammad Rabiul Halim, Kazi Nuruddin Ahmed, Rajib Hasan, AHM Hafizur Rahman, Salman Saifi, & Rahatul Jannat Nishat. (2024). Peri-partum Thrombotic thrombocytopenic purpura - A 29 years old pregnant lady presented with convulsion and thrombocytopenia. Bangladesh Critical Care Journal, 12(1), 68–71. https://doi.org/10.3329/bccj.v12i1.72406

Issue

Section

Case Reports