Systemic Inflammatory Response Syndrome (SIRS) after Cesarean Section Successfully Treated with Continuous Hemodiafiltration: A Case Report.

Accession number;02A0151477
Title;Systemic Inflammatory Response Syndrome (SIRS) after Cesarean Section Successfully Treated with Continuous Hemodiafiltration: A Case Report.
Author;HAYASHI TAKASHI(Toyamayakudai Sanfujinka)   SAKAI MASATOSHI(Toyamayakudai Sanfujinka)   WATANABE HIROMICHI(Toyamayakudai Sanfujinka)   TSUDA HIROSHI(Toyamayakudai Sanfujinka)   TANEBE KYOKO(Toyamayakudai Sanfujinka)   SAITO SHIGERU(Toyamayakudai Sanfujinka)   
Journal Title;Acta Obstetrica et Gynaecologica Japonica
Journal Code:F0923A
ISSN:0300-9165
VOL.54;NO.1;PAGE.28-32(2002)
Figure&Table&Reference;FIG.2, TBL.1, REF.9
Pub. Country;Japan
Language;Japanese
Abstract;A 29-year-old woman had continuous remittent fever after cesarean section. The debridement of operation scar and drainage were performed. But remittent fever still lasted and white blood cell count and CRP increased furthermore. The microorganisms were not detected in her ascites and arterial blood by culture system. The levels of inflammatory cytokines such as interleukin-6 and TNF-.ALPHA. in serum were elevated to 1,300 pg/ml and 50 pg/ml, respectively. So, continuous hemodiafiltration (CHDF) was done under a diagnosis of systemic inflammatory response syndrome (SIRS). After CHDF for two days, the inflammatory cytokines decreased dramatically and the general findings of the patients recovered rapidly. (author abst.)