Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UNIPROT:P01178 (oxytocin)
 15,767 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A case of septic induced abortion in a 15-year-old girl referred to the hospital as a pediatric patient with the provisional diagnosis of meningococcemia is reported. The patient was admitted in shock, cyanotic, and vasoconstricted. Pertinent comments by the nurses that the patient admitted coitus 12 to 14 weeks previously and followed by amenorrhea, were apparently ignored. The 1st gynecologic consultant was called after the patient experienced severe cramps and passage of part of a placenta. He recommended intravenous oxytocin and curettage, but this advice was not followed because the hospital pharmacy did not stock oxytocin and because the administration would not permit curettage on a child. Dilation and curettage was performed after transfer to a general hospital. The patient died 6 weeks after admission, and the pathologist's final summary noted that extensive pneumonia together with organizing thrombi suggest that the patient may have thrown septic emboli very early in the course of her disease. It is concluded that errors and omissions were disastrous, but even more reprehensible was the failure of residents to credit nurses' notes or follow consultants' recommendations which clearly pointed all along to the correct diagnosis. Finally, when the patient aborted in bed, the urgency of intervention was not recognized and the time which was her last chance for survival was lost.
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PMID:Septic induced abortion. 472 34