{"id":"https://openalex.org/W7225448647","doi":"https://doi.org/10.1186/s13256-026-06831-0","title":"Postpartum-acquired hemophilia A presenting as a recurrent rectus sheath hematoma following cesarean section: a case report","display_name":"Postpartum-acquired hemophilia A presenting as a recurrent rectus sheath hematoma following cesarean section: a case report","publication_year":2026,"publication_date":"2026-11-07","ids":{"openalex":"https://openalex.org/W7225448647","doi":"https://doi.org/10.1186/s13256-026-06831-0","pmid":"https://pubmed.ncbi.nlm.nih.gov/43004374"},"language":"en","primary_location":{"id":"doi:10.1186/s13256-026-06831-0","doi":"https://doi.org/10.1186/s13256-026-06831-0","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s13256-026-06831-0","pdf_url":null,"source":{"id":"https://openalex.org/S162052592","display_name":"Journal of Medical Case Reports","issn_l":"1752-1947","issn":["1752-1947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Medical Case Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s13256-026-06831-0","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5054816033","display_name":"Mohamed Rishard","orcid":"https://orcid.org/0000-0002-0739-5661","observed_orcids":["https://orcid.org/0000-0002-0739-5661"]},"institutions":[{"id":"https://openalex.org/I90678064","display_name":"University of Colombo","ror":"https://ror.org/02phn5242","country_code":"LK","type":"education","lineage":["https://openalex.org/I90678064"]}],"countries":["LK"],"is_corresponding":true,"raw_author_name":"Mohamed Rishard","raw_affiliation_strings":["Department of Obstetrics & Gynaecology, Faculty of Medicine, University of Colombo, and Professorial Unit, De Soysa Hospital for Women, Colombo 08, Sri Lanka. mrishard@obg.cmb.ac.lk","Professorial Unit, De Soysa Hospital for Women, Colombo 08, Sri Lanka. mrishard@obg.cmb.ac.lk"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics & Gynaecology, Faculty of Medicine, University of Colombo, and Professorial Unit, De Soysa Hospital for Women, Colombo 08, Sri Lanka. mrishard@obg.cmb.ac.lk","institution_ids":["https://openalex.org/I90678064"]},{"raw_affiliation_string":"Professorial Unit, De Soysa Hospital for Women, Colombo 08, Sri Lanka. mrishard@obg.cmb.ac.lk","institution_ids":["https://openalex.org/I90678064"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161167356","display_name":"K. S. C. Gunasinghe","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"K. S. C. Gunasinghe","raw_affiliation_strings":["Professorial Unit, De Soysa Hospital for Women, Colombo 08, Sri Lanka"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Professorial Unit, De Soysa Hospital for Women, Colombo 08, Sri Lanka","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161175729","display_name":"K. Jeykrishna","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"K. Jeykrishna","raw_affiliation_strings":["Professorial Unit, De Soysa Hospital for Women, Colombo 08, Sri Lanka"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Professorial Unit, De Soysa Hospital for Women, Colombo 08, Sri Lanka","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161242479","display_name":"M. A. N. A. P. Perera","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"M. A. N. A. P. Perera","raw_affiliation_strings":["Professorial Unit, De Soysa Hospital for Women, Colombo 08, Sri Lanka"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Professorial Unit, De Soysa Hospital for Women, Colombo 08, Sri Lanka","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5161167711","display_name":"Hirosha Fernando","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Hirosha Fernando","raw_affiliation_strings":["Haematology Unit, De Soysa Hospital for Women, Colombo 08, Sri Lanka"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Haematology Unit, De Soysa Hospital for Women, Colombo 08, Sri Lanka","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5054816033"],"corresponding_institution_ids":["https://openalex.org/I90678064"],"apc_list":{"value":2890,"currency":"USD","value_usd":2890},"apc_paid":{"value":2890,"currency":"USD","value_usd":2890},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"20","issue":"1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11280","display_name":"Hemophilia Treatment and Research","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11280","display_name":"Hemophilia Treatment and Research","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13878","display_name":"Case Reports on Hematomas","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10746","display_name":"Platelet Disorders and Treatments","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/factor-viii-inhibitors","display_name":"factor VIII inhibitors","score":0.8479999899864197},{"id":"https://openalex.org/keywords/rectus-sheath-hematoma","display_name":"rectus sheath hematoma","score":0.9760000109672546},{"id":"https://openalex.org/keywords/cesarean-section-complications","display_name":"cesarean section complications","score":0.8740000128746033},{"id":"https://openalex.org/keywords/antiphospholipid-syndrome","display_name":"antiphospholipid syndrome","score":0.8610000014305115},{"id":"https://openalex.org/keywords/recombinant-factor-viia","display_name":"recombinant factor VIIa","score":0.781000018119812},{"id":"https://openalex.org/keywords/immunosuppression","display_name":"immunosuppression","score":0.7400000095367432},{"id":"https://openalex.org/keywords/wound-infection","display_name":"wound infection","score":0.7459999918937683},{"id":"https://openalex.org/keywords/pseudomonas","display_name":"Pseudomonas","score":0.7179999947547913},{"id":"https://openalex.org/keywords/klebsiella","display_name":"Klebsiella","score":0.9589999914169312},{"id":"https://openalex.org/keywords/prolonged-activated-partial-thromboplastin-time","display_name":"prolonged activated partial thromboplastin time","score":0.7689999938011169},{"id":"https://openalex.org/keywords/antinuclear-antibodies","display_name":"antinuclear antibodies","score":0.6259999871253967}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9836000204086304},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.7188000082969666},{"id":"https://openalex.org/C2778261982","wikidata":"https://www.wikidata.org/wiki/Q1755136","display_name":"Partial thromboplastin time","level":3,"score":0.671500027179718},{"id":"https://openalex.org/C66112548","wikidata":"https://www.wikidata.org/wiki/Q1225698","display_name":"Fresh frozen plasma","level":3,"score":0.4860000014305115},{"id":"https://openalex.org/C2778961111","wikidata":"https://www.wikidata.org/wiki/Q5940878","display_name":"Recombinant factor VIIa","level":2,"score":0.46309998631477356},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.44690001010894775},{"id":"https://openalex.org/C2779662492","wikidata":"https://www.wikidata.org/wiki/Q468787","display_name":"Hematoma","level":2,"score":0.43320000171661377},{"id":"https://openalex.org/C2779637338","wikidata":"https://www.wikidata.org/wiki/Q418666","display_name":"Tranexamic acid","level":3,"score":0.4120999872684479},{"id":"https://openalex.org/C2778589496","wikidata":"https://www.wikidata.org/wiki/Q487937","display_name":"Hemostasis","level":2,"score":0.4050999879837036},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.37380000948905945},{"id":"https://openalex.org/C2780218171","wikidata":"https://www.wikidata.org/wiki/Q244913","display_name":"Vaginal bleeding","level":3,"score":0.36489999294281006},{"id":"https://openalex.org/C2908529173","wikidata":"https://www.wikidata.org/wiki/Q890200","display_name":"Coagulation Disorder","level":3,"score":0.361299991607666},{"id":"https://openalex.org/C2778384902","wikidata":"https://www.wikidata.org/wiki/Q183134","display_name":"Sepsis","level":2,"score":0.3549000024795532},{"id":"https://openalex.org/C2779936836","wikidata":"https://www.wikidata.org/wiki/Q890200","display_name":"Coagulopathy","level":2,"score":0.3368000090122223},{"id":"https://openalex.org/C46973012","wikidata":"https://www.wikidata.org/wiki/Q28627","display_name":"Gestation","level":3,"score":0.299699991941452},{"id":"https://openalex.org/C2780653079","wikidata":"https://www.wikidata.org/wiki/Q412323","display_name":"Rituximab","level":3,"score":0.2955999970436096},{"id":"https://openalex.org/C2780955771","wikidata":"https://www.wikidata.org/wiki/Q183425","display_name":"Abdominal pain","level":2,"score":0.29179999232292175},{"id":"https://openalex.org/C2780252810","wikidata":"https://www.wikidata.org/wiki/Q1455316","display_name":"Immunosuppression","level":2,"score":0.2840999960899353},{"id":"https://openalex.org/C2778258694","wikidata":"https://www.wikidata.org/wiki/Q1923157","display_name":"Cryoprecipitate","level":3,"score":0.28299999237060547},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.2784000039100647},{"id":"https://openalex.org/C2778842783","wikidata":"https://www.wikidata.org/wiki/Q603502","display_name":"Plasmapheresis","level":3,"score":0.2728999853134155},{"id":"https://openalex.org/C2779983558","wikidata":"https://www.wikidata.org/wiki/Q9597","display_name":"Abdomen","level":2,"score":0.2687000036239624},{"id":"https://openalex.org/C2778355172","wikidata":"https://www.wikidata.org/wiki/Q1994556","display_name":"Flucloxacillin","level":4,"score":0.26739999651908875},{"id":"https://openalex.org/C2778754067","wikidata":"https://www.wikidata.org/wiki/Q354111","display_name":"Abdominal wall","level":2,"score":0.266400009393692},{"id":"https://openalex.org/C2778931659","wikidata":"https://www.wikidata.org/wiki/Q4665123","display_name":"Abdominal compartment syndrome","level":3,"score":0.26420000195503235},{"id":"https://openalex.org/C2779225303","wikidata":"https://www.wikidata.org/wiki/Q388113","display_name":"Placental abruption","level":4,"score":0.2612000107765198},{"id":"https://openalex.org/C2776217217","wikidata":"https://www.wikidata.org/wiki/Q611571","display_name":"Bleeding diathesis","level":3,"score":0.25679999589920044},{"id":"https://openalex.org/C2780022809","wikidata":"https://www.wikidata.org/wiki/Q5786759","display_name":"Lupus anticoagulant","level":3,"score":0.2540999948978424},{"id":"https://openalex.org/C2775956843","wikidata":"https://www.wikidata.org/wiki/Q924421","display_name":"Septic arthritis","level":3,"score":0.2502000033855438}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002585","descriptor_name":"Cesarean Section","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D005169","descriptor_name":"Factor VIII","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006406","descriptor_name":"Hematoma","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D006406","descriptor_name":"Hematoma","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D006467","descriptor_name":"Hemophilia A","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D006467","descriptor_name":"Hemophilia A","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D006467","descriptor_name":"Hemophilia A","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010314","descriptor_name":"Partial Thromboplastin Time","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011994","descriptor_name":"Recombinant Proteins","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D012008","descriptor_name":"Recurrence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015942","descriptor_name":"Factor VIIa","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017568","descriptor_name":"Rectus Abdominis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D049590","descriptor_name":"Postpartum Period","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1186/s13256-026-06831-0","doi":"https://doi.org/10.1186/s13256-026-06831-0","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s13256-026-06831-0","pdf_url":null,"source":{"id":"https://openalex.org/S162052592","display_name":"Journal of Medical Case Reports","issn_l":"1752-1947","issn":["1752-1947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Medical Case Reports","raw_type":"journal-article"},{"id":"pmid:43004374","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/43004374","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of medical case reports","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1186/s13256-026-06831-0","doi":"https://doi.org/10.1186/s13256-026-06831-0","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s13256-026-06831-0","pdf_url":null,"source":{"id":"https://openalex.org/S162052592","display_name":"Journal of Medical Case Reports","issn_l":"1752-1947","issn":["1752-1947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Medical Case Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":14,"referenced_works":["https://openalex.org/W1792313494","https://openalex.org/W1889532155","https://openalex.org/W1967479627","https://openalex.org/W1984229220","https://openalex.org/W1996499278","https://openalex.org/W2001205289","https://openalex.org/W2054330426","https://openalex.org/W2060964811","https://openalex.org/W2131577577","https://openalex.org/W2611005000","https://openalex.org/W2946860902","https://openalex.org/W3021433538","https://openalex.org/W3088861236","https://openalex.org/W7118065848"],"related_works":["https://openalex.org/W4390542245","https://openalex.org/W3109563086","https://openalex.org/W112824353","https://openalex.org/W64724452","https://openalex.org/W4283726264","https://openalex.org/W4387933135","https://openalex.org/W2331940523","https://openalex.org/W2735730505","https://openalex.org/W2410477396","https://openalex.org/W2262147104"],"abstract_inverted_index":{"BACKGROUND:":[0],"Acquired":[1],"hemophilia":[2,31,232],"A":[3,32,68,233],"is":[4,60,251,265,272,298],"a":[5,54,92,128,166,201],"rare":[6],"autoimmune":[7],"bleeding":[8,130,135,247,261],"disorder":[9],"caused":[10],"by":[11,102,200],"autoantibodies":[12],"against":[13],"factor":[14,167,181],"VIII.":[15],"Peripartum":[16],"cases":[17],"account":[18],"for":[19,159],"approximately":[20],"7-11%":[21],"of":[22,57,124,147,221],"the":[23,148,249,266,296],"total,":[24],"and":[25,62,91,132,138,154,189,206,212,223,255,279],"untreated":[26],"mortality":[27],"reaches":[28],"10-20%.":[29],"Postpartum-acquired":[30,231],"typically":[33],"presents":[34],"with":[35,87,165,191,210,241,287],"subcutaneous":[36],"bruising,":[37],"mucosal":[38,246],"bleeding,":[39],"intramuscular":[40],"hematomas,":[41],"or":[42,245],"retroperitoneal":[43],"bleeding;":[44],"presentation":[45],"as":[46,53],"an":[47,81,144,160],"isolated":[48,145],"rectus":[49],"sheath":[50,94],"hematoma":[51],"masquerading":[52],"surgical":[55,122,256],"complication":[56],"cesarean":[58,85],"section":[59,86],"uncommon":[61],"may":[63],"delay":[64],"diagnosis.":[65],"CASE":[66],"PRESENTATION:":[67],"30-year-old":[69],"Sri":[70],"Lankan":[71],"(South":[72],"Asian)":[73],"para":[74],"2":[75],"woman":[76,240],"presented":[77],"17":[78],"days":[79],"after":[80,108],"uncomplicated":[82],"elective":[83],"second":[84],"severe":[88],"abdominal":[89],"pain":[90],"sub-rectus":[93],"hematoma.":[95],"Her":[96],"first":[97],"pregnancy":[98],"had":[99,113],"been":[100,114],"complicated":[101,199],"placental":[103],"abruption":[104],"at":[105],"32":[106],"weeks,":[107],"which":[109],"antiphospholipid":[110],"syndrome":[111],"screening":[112,156,264],"advised":[115],"but":[116],"not":[117],"undertaken.":[118],"She":[119],"underwent":[120],"two":[121],"evacuations":[123],"recurrent":[125],"hematomas":[126],"without":[127],"discrete":[129,260],"source,":[131],"developed":[133],"multifocal":[134],"including":[136],"hematuria":[137],"wound":[139,203],"oozing.":[140],"Coagulation":[141],"studies":[142],"showed":[143],"prolongation":[146],"activated":[149,180],"partial":[150],"thromboplastin":[151],"time":[152],"(APTT),":[153],"inhibitor":[155,163],"was":[157,172,198,225],"positive":[158,173],"acquired,":[161],"time-dependent":[162],"consistent":[164],"VIII":[168],"inhibitor.":[169],"Antinuclear":[170],"antibody":[171],"(nuclear":[174],"speckled":[175],"pattern).":[176],"Management":[177],"combined":[178,286],"recombinant":[179],"VII":[182],"(rFVIIa),":[183],"tranexamic":[184],"acid,":[185],"blood":[186],"product":[187],"support,":[188],"immunosuppression":[190],"oral":[192],"prednisone":[193],"1":[194],"mg/kg/day.":[195],"The":[196,270],"course":[197],"polymicrobial":[202],"infection":[204],"(Pseudomonas":[205],"Klebsiella":[207],"species)":[208],"treated":[209],"meropenem":[211],"clindamycin.":[213],"Marked":[214],"clinical":[215,284],"improvement":[216],"occurred":[217],"within":[218],"48":[219],"hours":[220],"immunosuppression,":[222],"she":[224],"discharged":[226],"on":[227],"day":[228],"11.":[229],"CONCLUSIONS:":[230],"should":[234],"be":[235],"considered":[236],"in":[237,253,277],"any":[238],"postpartum":[239],"unexplained":[242],"spontaneous":[243],"soft-tissue":[244],"when":[248,295],"APTT":[250],"prolonged":[252],"isolation":[254],"exploration":[257],"finds":[258],"no":[259],"source.":[262],"Inhibitor":[263],"pivotal":[267],"diagnostic":[268],"investigation.":[269],"case":[271],"particularly":[273],"relevant":[274],"to":[275],"clinicians":[276],"low-":[278],"middle-income":[280],"countries,":[281],"where":[282],"multidisciplinary":[283],"reasoning":[285],"widely":[288],"available":[289],"therapies":[290],"can":[291],"deliver":[292],"excellent":[293],"outcomes":[294],"diagnosis":[297],"recognized":[299],"early.":[300]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-08T00:00:00"}