Biomedical subjects
Publications and source records attributed to C Kalstone.
Cryotherapy causes a high incidence of cervical stenosis in diethylstilbestrol-exposed women because of an abnormal healing response. Consequently, the cervix may not dilate during labor, necessitating cesarean section. To prevent this, therapy should be localized to the abnormal tissue on the cervix instead of the entire transformation zone whenever possible.
A pregnant patient had a flulike illness at 27 weeks. Listeria monocytogenes infection was diagnosed by blood cultures. Electronic monitoring suggested the fetus was stressed. Use of tocolytics inhibited uterine contractions while the mother was treated with intravenous ampicillin. Four days later when labor began because of chorioamnionitis, the infant was delivered in good condition.
A postpartum patient had a unilateral breast infection that responded to cephalosporin treatment. During therapy, the contralateral breast developed a methicillin-resistant Staphylococcus aureus infection. The patient was hospitalized and treated successfully with intravenous vancomycin. Obstetricians should be alert to this possibility when treating patients with postpartum mastitis.
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