Misoprostol-induced pulmonary edema in a parturient with postpartum cardiomyopathy

oleh: Bikash Ranjan Ray, Puneet Khanna, Vimi Rewari, Renu Sinha, Ajisha Aravindan, Anjan Trikha

Format: Article
Diterbitkan: Wolters Kluwer Medknow Publications 2011-01-01

Deskripsi

Misoprostol, a synthetic prostaglandin E1 (PGE1) analogue, although not the first-line drug in the management of postpartum hemorrhage, is frequently used for this purpose due to its safety profile and cost-effectiveness. Cardio-pulmonary complications have been previously reported with use of prostaglandin analogues but not with misoprostol. We describe a case of pulmonary edema after the use of vaginal misoprostol for treatment of postpartum vaginal bleed in an otherwise healthy asymptomatic patient, who was later diagnosed as a case of peripartum cardiomyopathy.