Untypical Course of Pneumonia in Pregnancy: a Case Report
Authors:
M. Kozumplík; R. Doubek
Authors place of work:
Gynekologicko‑porodnická klinika LF MU a FN Brno
Published in the journal:
Prakt Gyn 2009; 13(1): 26-29
Summary
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
Zdroje
1. Goodnight WH, Soper DE. Pneumonia in pregnancy. Crit Care Med 2005; 33(Suppl 10): 390–397.
2. Madinger NE, Greenspoon JS, Ellrodt AG. Pneumonia during pregnancy: has modern technology improved maternal and fetal outcome? Am J Obstet Gynecol 1989; 161: 657–662.
3. Mann MB, Groome LJ, Atterbury JL et al. Pneumonia as a complication of pregnancy. J Matern Fetal Med 1999; 8: 151–154.
4. Toppenberg KS, Hill DA, Miller DP. Safety of radiographic imaging during pregnancy. Am Fam Physician 1999; 59: 1813–1820.
5. Kolek V. Pneumonie – diagnostika a léčba. Praha: Triton 2003.
6. Záhumenský J, Zmrhalová B, Zmrhal J et al. Pneumonie v těhotenství. Česká gynekologie 2007; 6: 385–388.
7. Teřl M et al. Plicní lékařství. Praha: Karolinum 2004.
8. Bánhidy F, Acs N, Puhó EH et al. Maternal acute respiratory infectious diseases during pregnancy and birth outcomes. Eur J Epidemiol 2008; 23(1): 29–35.
9. Getahun D, Ananth CV, Oyelese Y et al. Acute and chronic respiratory diseases in pregnancy: associations with spontaneous premature rupture of membranes. J Matern Fetal Neonatal Med 2007; 20(9): 669–675.
10. Shariatzadeh MR, Marrie TJ. Pneumonia during pregnancy. Am J Med 2006;119(10): 872–876.
11. Acs N, Bánhidy F, Puhó E et al. Pregnancy complications and delivery outcomes of pregnant women with influenza. J Matern Fetal Neonatal Med 2006;19(3): 135–140.
Štítky
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicineČlánok vyšiel v časopise
Practical Gynecology
2009 Číslo 1
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