Toxemia of Pregnancy in a Teenage Adopted Girl: A Case Report

Authors

  • Anirut Pattaragarn Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University
  • Pornpimol Ruangvutilert Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University
  • Chatree Witoonchart Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University
  • Pimprapai Seneewong Na Ayuthaya Department of Forensic Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University

Keywords:

Pre-eclampsia, Teenage pregnancy, Sexual abuse, Posterior leukoencephalopathy, Pre-eclampsia nephropathy

Abstract

A 13-year-old adopted girl, 6 months pregnant, was presented with altered consciousness and bleeding from the vagina. Based on the signs and symptoms of edema, severe hypertension and heavy proteinuria, accompanied by the abdominal ultrasound results, she was diagnosed with severe pre-eclampsia /eclampsia complicated by an abruption of the placenta and a dead fetus in utero. These serious conditions resulted in acute renal failure due to both pre-renal and renal causes. With proper management of hypertension and fluid therapy, the renal function returned to normal. Neurological manifestation was transient but complete recovery through psychological testing was in doubt. A multidisciplinary team, including psychiatrist, pediatrician, social worker and legal consultant, was established to address the issue of child abuse and neglect.

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Published

01-06-2005

How to Cite

Pattaragarn, A. ., Ruangvutilert, P. ., Witoonchart, C. ., & Na Ayuthaya, P. S. . (2005). Toxemia of Pregnancy in a Teenage Adopted Girl: A Case Report. Siriraj Medical Journal, 57(6), 197–200. Retrieved from https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/245598

Issue

Vol. 57 No. 6 (2005): June

Section

Case Report

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