Untypical Course of Pneumonia in Pregnancy: a Case Report


Authors: M. Kozumplík;  R. Doubek
Authors‘ workplace: Gynekologicko‑porodnická klinika LF MU a FN Brno
Published in: Prakt Gyn 2009; 13(1): 26-29

Overview

Inflammatory diseases of pulmonary parenchyma complicate about 1–3 of a thousand pregnancies. Typical etiological agenses are bacteria, viruses, fungi and protozoa. The most common of viral infection in pregnancy are chicken-pox and influenza. Incidence of fungal and paratrophic pneumonias is rare. The main symptoms are fever, cough, dyspnoea, chest pain, leucocytosis, characteristic auscultatory finding, shakes and shivering fit. The facture of X‑ray and right choose of antimicrobial treatment is very important in management of diagnostic and treatment of pneumonia. Macrolids are the first‑line antibiotics for pregnant women with pneumonia. Case report: 18-year old woman of 33rd week of pregnancy was hospitalized for fever, back pain and gripes. Sudden aggravation of health state, beginning of dyspnoea, tachypnoea, considerable elevation of laboratory indicators of inflammation happened in spite of initiated treatment of antibiotics. Along with positive auscultatory finding and corresponding radiogram of lungs. Then rapid considerable hyposaturation ensues in spite of maximal intensive treatment. Therefore the gravidity is terminated by an acute Caesarean section. Afterwards an improvement of health state occurs during intensive care. Virus of influenza A and B was detected as etiological agens of the pneumonia. It is necessary to think of possibility of pneumonia also in cases when the initial symptoms are not typical and do not correspond to this disease at all. Especially when we do not detect another etiology of health troubles.

Key words:
pneumonia – pregnancy – chest X‑ray


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Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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