Perinatal management of fetal supraventricular tachycardia complicated by maternal pertussis

Stephanie Dejong, Bahram Salmanian, Alireza A. Shamshirsaz, Rodrigo Ruano

Research output: Contribution to journalArticle

Abstract

Prenatal pertussis has become a concern once again with the reappearance of the disease in the USA. A 30-year-old mother whose pregnancy was complicated with fetal arrhythmia was referred for further evaluation in the third trimester. After initial treatment with antiarrhythmic medications due to continued irregular rhythm, she was revisited for persistent hacking cough at 38 weeks gestational age. PCR examination confirmed pertussis diagnosis. Owing to increased risk of digoxin toxicity with concurrent antibiotic administration, antiarrhythmic medication was discontinued. Delivery was induced 2 days after the initiation of azithromycin therapy to prevent the transmission of the disease to the neonate. A well-planned delivery in a patient with prenatal diagnosis prevents neonatal infection while considering the obstetrical dilemma for concurrent management of the intrauterine arrhythmia and antibiotic administration.

Original languageEnglish (US)
Article numberA1077
JournalBMJ Case Reports
Volume2015
DOIs
StatePublished - Jul 7 2015
Externally publishedYes

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Supraventricular Tachycardia
Whooping Cough
Cardiac Arrhythmias
Mothers
Anti-Bacterial Agents
Azithromycin
Digoxin
Third Pregnancy Trimester
Prenatal Diagnosis
Cough
Gestational Age
Newborn Infant
Pregnancy
Polymerase Chain Reaction
Therapeutics
Infection

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Perinatal management of fetal supraventricular tachycardia complicated by maternal pertussis. / Dejong, Stephanie; Salmanian, Bahram; Shamshirsaz, Alireza A.; Ruano, Rodrigo.

In: BMJ Case Reports, Vol. 2015, A1077, 07.07.2015.

Research output: Contribution to journalArticle

Dejong, Stephanie ; Salmanian, Bahram ; Shamshirsaz, Alireza A. ; Ruano, Rodrigo. / Perinatal management of fetal supraventricular tachycardia complicated by maternal pertussis. In: BMJ Case Reports. 2015 ; Vol. 2015.
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