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British Journal of Anaesthesia, Vol 77, Issue 4 553-555, Copyright © 1996 by The Board of Management and Trustees of the British Journal of Anaesthesia

CASE REPORTS

Unrecognized "crack" cocaine abuse in pregnancy

D. Campbell, MJA. Parr and L. E. Shutt
Sir Humphry Davy Department of Anaesthesia, St Michael's Hospital, Bristol BS2 8EG; Department of Anaesthesia, Frenchay Hospital, Bristol BS16 1LE

We report a case of "crack" cocaine abuse in a pregnant patient associated with haematuria, proteinuria, haemolytic anaemia, renal impairment, thrombocytopenia and pulmonary oedema. The case illustrates the problems for clinicians where unrecognized cocaine abuse interferes with the diagnosis and management of a complicated pregnancy. In addition, we discuss the principles for the safe conduct of anaesthesia in the pregnant cocaine abuser.
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