{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T12:22:14Z","timestamp":1782476534027,"version":"3.54.5"},"reference-count":10,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,23]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_crpm-2025-0029_abs_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Acute pulmonary edema during pregnancy is a rare but serious complication, particularly in association with magnesium sulfate therapy for tocolysis. This case report describes a 27-year-old woman with a twin pregnancy who developed acute pulmonary edema after 3\u00a0days of magnesium sulfate treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_crpm-2025-0029_abs_002\">\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>The patient presented with chest tightness, dyspnea, and respiratory distress. Immediate clinical intervention included discontinuation of magnesium sulfate and administration of furosemide to reduce cardiac preload. She was managed with diuretics, sedatives, and inotropic agents. Both infants were delivered successfully, and the patient recovered after supportive care in the intensive care\u00a0unit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_crpm-2025-0029_abs_003\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This case highlights the potential risks of fluid retention and the importance of monitoring maternal fluid status during tocolysis. It also emphasizes the need for vigilance in managing twin pregnancies with magnesium sulfate therapy to prevent serious complications such as pulmonary edema. Clinicians should be aware of this rare but potentially life-threatening complication and ensure that fluid balance is carefully monitored in such\u00a0cases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/crpm-2025-0029","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T15:02:02Z","timestamp":1780326122000},"source":"Crossref","is-referenced-by-count":1,"title":["Acute pulmonary edema secondary to magnesium sulfate tocolysis in twin pregnancy: a case report"],"prefix":"10.1515","volume":"15","author":[{"given":"Xiaoling","family":"Liang","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Department of Obstetrics and Gynecology , Women and Children\u2019s Hospital, School of Medicine, Xiamen University , Xiamen , Fujian , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaxin","family":"Kang","sequence":"additional","affiliation":[{"name":"School of Medicine , Xiamen University , Xiamen , Fujian , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bowen","family":"Zheng","sequence":"additional","affiliation":[{"name":"School of Medicine , Xiamen University , Xiamen , Fujian , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yicong","family":"Liao","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Department of Obstetrics and Gynecology , Women and Children\u2019s Hospital, School of Medicine, Xiamen University , Xiamen , Fujian , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiqing","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Department of Obstetrics and Gynecology , Women and Children\u2019s Hospital, School of Medicine, Xiamen University , Xiamen , Fujian , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guoliang","family":"Yan","sequence":"additional","affiliation":[{"name":"School of Medicine , Xiamen University , Xiamen , Fujian , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junxiang","family":"Jia","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Department of Obstetrics and Gynecology , Women and Children\u2019s Hospital, School of Medicine, Xiamen University , Xiamen , Fujian , China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2026,6,1]]},"reference":[{"key":"2026060115015516367_j_crpm-2025-0029_ref_001","doi-asserted-by":"crossref","unstructured":"Sciscione, AC, Ivester, T, Largoza, M, Manley, J, Shlossman, P, Colmorgen, GH. Acute pulmonary edema in pregnancy. Obstet Gynecol 2003;101:511\u20135. https:\/\/doi.org\/10.1097\/00006250-200303000-00016.","DOI":"10.1097\/00006250-200303000-00016"},{"key":"2026060115015516367_j_crpm-2025-0029_ref_002","doi-asserted-by":"crossref","unstructured":"Bhatia, PK, Biyani, G, Mohammed, S, Sethi, P, Bihani, P. Acute respiratory failure and mechanical ventilation in pregnant patient: a narrative review of literature. J\u00a0Anaesthesiol Clin Pharmacol 2016;32:431\u20139. https:\/\/doi.org\/10.4103\/0970-9185.194779.","DOI":"10.4103\/0970-9185.194779"},{"key":"2026060115015516367_j_crpm-2025-0029_ref_003","doi-asserted-by":"crossref","unstructured":"Pordeus, AC, Katz, L, Soares, MC, Maia, SB, Amorim, MM. Acute pulmonary edema in an obstetric intensive care unit: a case series study. Medicine (Baltim) 2018;97:e11508. https:\/\/doi.org\/10.1097\/md.0000000000011508.","DOI":"10.1097\/MD.0000000000011508"},{"key":"2026060115015516367_j_crpm-2025-0029_ref_004","unstructured":"Wallenborn, J, Rohrbach, A, Stepan, H, K\u00fchnert, I, Olthoff, D. The peripartum pulmonary edema\u00a0\u2013\u00a0anaesthesiologicol aspects of an obstetrical emergency\u00a0\u2013\u00a0review of differential diagnosis and therapy based on a case report. Anasthesiol Intensivmed 2004;45:341\u201350."},{"key":"2026060115015516367_j_crpm-2025-0029_ref_005","doi-asserted-by":"crossref","unstructured":"Bauersachs, J, K\u00f6nig, T, van der Meer, P, Petrie, MC, Hilfiker-Kleiner, D, Mbakwem, A, et al.. Pathophysiology, diagnosis and management of peripartum cardiomyopathy: a position statement from the heart failure association of the European society of cardiology study group on peripartum cardiomyopathy. Eur J Heart Fail 2019;21:827\u201343. https:\/\/doi.org\/10.1002\/ejhf.1493.","DOI":"10.1002\/ejhf.1493"},{"key":"2026060115015516367_j_crpm-2025-0029_ref_006","doi-asserted-by":"crossref","unstructured":"Basak, S, Rudra, P. Acute onset peripartum cardiomyopathy in a woman with severe pre-eclampsia: a diagnostic dilemma. Obstet Med 2013;6:33\u20134. https:\/\/doi.org\/10.1258\/om.2012.120032.","DOI":"10.1258\/om.2012.120032"},{"key":"2026060115015516367_j_crpm-2025-0029_ref_007","doi-asserted-by":"crossref","unstructured":"Ng, KO, Chow, LH, Yeh, CC, Huang, EY, Liu, WC, Tan, PH. Case report: the management for a gestational hypertensive woman with influenza A virus pneumonia and peripartum cardiomyopathy. BMC Pregnancy Childbirth 2022;22:497. https:\/\/doi.org\/10.1186\/s12884-022-04814-9.","DOI":"10.1186\/s12884-022-04814-9"},{"key":"2026060115015516367_j_crpm-2025-0029_ref_008","doi-asserted-by":"crossref","unstructured":"Zlatnik, MG. Pulmonary edema: etiology and treatment. Semin Perinatol 1997;21:298\u2013306. https:\/\/doi.org\/10.1016\/s0146-0005(97)80072-9.","DOI":"10.1016\/S0146-0005(97)80072-9"},{"key":"2026060115015516367_j_crpm-2025-0029_ref_009","doi-asserted-by":"crossref","unstructured":"American College of Obstetricians and Gynecologists Committee on Obstetric Practice Society for Maternal-Fetal Medicine. Committee opinion no. 573. Magnesium sulfate use in obstetrics. Obstet Gynecol 2013;122:727\u20138. https:\/\/doi.org\/10.1097\/01.AOG.0000433994.46087.85.","DOI":"10.1097\/00006250-201309000-00042"},{"key":"2026060115015516367_j_crpm-2025-0029_ref_010","doi-asserted-by":"crossref","unstructured":"Taweesedt, PT, Nordstrom, CW, Stoeckel, J, Dumic, I. Pulmonary manifestations of drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome: a systematic review. 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