Main Article Content
A 13-year-old adopted girl, 6 months pregnant, was presented with altered consciousness and bleeding from theÂ vagina. Based on the signs and symptoms of edema, severe hypertension and heavy proteinuria, accompanied by theÂ abdominal ultrasound results, she was diagnosed with severe pre-eclampsia /eclampsia complicated by an abruption ofÂ the placenta and a dead fetus in utero. These serious conditions resulted in acute renal failure due to both pre-renal andÂ renal causes. With proper management of hypertension and fluid therapy, the renal function returned to normal.Â Neurological manifestation was transient but complete recovery through psychological testing was in doubt. AÂ multidisciplinary team, including psychiatrist, pediatrician, social worker and legal consultant, was established toÂ address the issue of child abuse and neglect.
All articles published in the Siriraj Medical Journal (SMJ) are protected by copyright. No material in this journal may be reproduced on any platform including electronic or in print or transmitted by any means, in whole or in part, without the prior written permission of the Editor of the SMJ. Written permission must also be obtained before any part of the SMJ is stored in any retrieval system of any nature.