Rhabdomyolysis After Intravenous Iron Sucrose Infusion During Pregnancy.

Rhabdomyolysis After Intravenous Iron Sucrose Infusion During Pregnancy.

Ge, Christina; Reyes, Jessica; Queenan, Ruth Anne; Gherman, Robert B
Obstetrics and gynecology 2023 Vol. 141 pp. 1049-1051
24
ge2023rhabdomyolysis

Abstract

Iron infusions have become increasingly common in the treatment of iron-deficiency anemia during pregnancy. Although iron infusions are generally well tolerated, adverse reactions have been reported. A pregnant patient was diagnosed with rhabdomyolysis after receiving a second dose of intravenous (IV) iron sucrose at 32 6/7 weeks of gestation. On admission to the hospital, creatine kinase was 2,437 units/L, sodium was 132 mEq/L, and potassium was 2.1 mEq/L. Intravenous fluids and electrolyte repletion were administered, with improvement of symptoms within 48 hours. Creatinine kinase normalized 1 week after hospital discharge. Rhabdomyolysis can be associated with IV iron infusion during pregnancy.

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