Najam Rehana, Tomar Yugantika, Singh Mrinalini
Obstetrics and Gynaecology, Teerthanker Mahaveer Medical College and Research Center, Moradabad, IND.
Cureus. 2023 Feb 9;15(2):e34791. doi: 10.7759/cureus.34791. eCollection 2023 Feb.
Gitelman's syndrome (GS) is a disorder characterized by hypokalaemia, hypomagnesemia, hypocalciuric and metabolic alkalosis. Despite the fact that it affects women of child-bearing age, only limited information is available regarding its impact on maternal and foetal outcome. We present the case of an un-booked and un-investigated 23-year-old primigravida who presented with chief complaints of vomiting and loose stools. The patient also complained of absent foetal movements in the last 12 hours. Investigations revealed hypokalaemia and hypomagnesemia and ultrasound revealed intra-uterine foetal demise. The patient was symptomatically relieved after electrolyte correction. Scarce reports on Gitelman's syndrome in pregnancy have been documented with the majority of cases showing positive outcomes for the foetus. We hereby present a report of a primigravida with Gitelman's syndrome and foetal loss which is considered uncommon.
吉特林综合征（GS）是一种以低钾血症、低镁血症、低钙尿症和代谢性碱中毒为特征的疾病。尽管它会影响育龄妇女，但关于其对母婴结局影响的信息有限。我们报告一例23岁未预约且未做过检查的初产妇病例，其主要症状为呕吐和腹泻。患者还抱怨在过去12小时内未感觉到胎儿胎动。检查发现低钾血症和低镁血症，超声检查显示宫内胎儿死亡。电解质纠正后患者症状缓解。关于妊娠合并吉特林综合征的报道很少，大多数病例显示胎儿预后良好。我们在此报告一例初产妇合并吉特林综合征及胎儿丢失的病例，这种情况被认为并不常见。
