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Unrecognized "crack" cocaine abuse in pregnancy
Authors:Campbell, D.   Parr, MJA.   Shutt, L. E.
Affiliation:Sir Humphry Davy Department of Anaesthesia, St Michael's Hospital, Bristol BS2 8EG; Department of Anaesthesia, Frenchay Hospital, Bristol BS16 1LE
Abstract:We report a case of "crack" cocaine abuse in a pregnant patient associatedwith haematuria, proteinuria, haemolytic anaemia, renal impairment,thrombocytopenia and pulmonary oedema. The case illustrates the problemsfor clinicians where unrecognized cocaine abuse interferes with thediagnosis and management of a complicated pregnancy. In addition, wediscuss the principles for the safe conduct of anaesthesia in the pregnantcocaine abuser.
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