Varicella Pneumonia in a 39-year-old Female in Third Trimester Twin Pregnancy
Rusmir Baljic, Meliha Hadzovic, Snjezana Mehanic, Enra Lukovac, Nada Koluder-Cimic, Izet Baljic, Bilal Imsirovic.
Introduction: Chickenpox is disease caused by varicella-zoster virus (VZV), with possibly devastated consequences during pregnancy, for mother and neonate. Pneumonia is most common complication in pregnancy with very high mortality. Case report: A 39-year-old female in third trimester twin pregnancy, referred to Clinic for infectious diseases in Sarajevo, with five days history of illness. Before the admission her condition get worse, with fatigue, exhaustion, and shortness of breath. In a first three days patient was febrile, tachydispnoic and ortopnoic. We started therapy with acyclovir and antibiotic. After four days we had detoriation in patientís condition. Chest X-ray revealed infiltrative shadows in basal parts of lung. Antimicrobial therapy was changed and corticosteroids were associated. Significant improvement was noticed after five days of therapy. Conclusion: Varicella pneumonia during third trimester may have serious consequences for mother and child, with possible fatal outcome.
varicella, pneumonia, pregnancy.
American Journal of Physiology, Biochemistry and Pharmacology
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