COMMUNITY-ACQUIRED PNEUMONIA IN PREGNANT. CLINICAL CASE.
Introduction. Community-acquired pneumonia is the leading cause of morbidity and mortality worldwide. The clinical features, diagnosis, and treatment of respiratory infections in pregnant and nonpregnant patients are generally similar, although there are risk factors. The incidence rates of community-acquired pneumonia in pregnant women range from 0.2 to 8.5 per 1,000 births. Concomitant diseases such as asthma, smoking, malnutrition, liver disease, chronic obstructive pulmonary disease, and pregnancy increase the risk of complications. A wide range of microorganisms can cause pneumonia during pregnancy, most of them are rare, but the pathogen has been identified only in 40-60% of cases.
Aim. To present a fatal case of community-acquired pneumonia in a pregnant woman.
Results. The article presents the case of a pregnant woman of 22 years old, with a gestation period of 23-24 weeks. The patient was delivered accompanied by an intensive care doctor in an extremely serious condition with complaints of a feeling of lack of air, abdominal pain, and general weakness. She became acutely ill 4 days ago, with fever and moderate abdominal pain. After 2 days, a sharp abdominal pain appeared. The patient was hospitalized in the department of anesthesiology, intensive care and intensive care. The patient was diagnosed with community-acquired bilateral polysegmental pneumonia, severe course. Severe acute respiratory infection? Multiple organ failure syndrome (MFS). Infectious and toxic shock. Acute respiratory distress syndrome. Thrombocytopenia. Coagulopathy. Right-sided pleurisy. Pregnancy is 23-24 weeks. HELLP syndrome, acute renal failure. The patient was constantly undergoing intensive therapy. Despite this, the patient's condition progressively worsened and biological death occurred on the 6th day of hospital stay. Cause of death: Multiple organ failure. Septic shock. There was a complete coincidence of clinical and pathological diagnoses, no errors in clinical diagnosis were detected.
Conclusions. The above case indicates the possibility of rapid development of community-acquired pneumonia with the addition of progressive complications that led to death. The dynamics of MOF development with unstable hemodynamics, the progression of respiratory distress syndrome on base pregnancy, anemia, progressive thrombocytopenia, the presence of opportunistic flora predetermined the outcome of the disease. It is necessary to strengthen the medical prevention of acute respiratory viral infections and pneumonia in pregnant women from an early stage.
Maukayeva Saule Boranbayevna - Candidate of Medical Sciences, Associate Professor of the Department of Infectious Diseases, Dermatovenerology and Immunology, NJSC "Semey Medical University", phone: 8 705 529 66 75, e-mail: solly66@mail.ru, https://orcid.org/0000-0002-2679-6399, Semey, Kazakhstan;
Nuralinova Gulnar Inzhikanovna - Candidate of Medical Sciences, Associate Professor of the Department of Infectious Diseases, Dermatovenerology and Immunology, NJSC "Semey Medical University", phone: 8 705 409 41 09, e-mail: gulnarnuralinova5@gmail.com, https://orcid.org/0000-0002-0478-5154, Semey, Kazakhstan;
Issabekova Zhanara Bakhytzhanovna - Assistant of the Department of Infectious Diseases, Dermatovenerology and Immunology, NJSC "Semey Medical University", phone: 8 775 176 08 09, e-mail: zhanara_ib87@mail.ru, https://orcid.org/0000-0002-2744-0327, Semey, Kazakhstan;
Apbassova Saulesh AKhatovna – Head of pathological anatomy and forensic medicine department named after Pruglo Y.V., NJSC "Semey Medical University", phone: 8 707 919 69 75, e-mail: apbasova65@mail.ru, https://orcid.org/0000-0001-6650-4971, Semey, Kazakhstan;
Shabdarbayeva Dariya Muratovna – Doctor of Medical Sciences, Professor, Vice Rector for Science and Strategic Development", Semey Medical University", phone 8 707 365 82 71, e-mail: dariya_kz@bk.ru, httрs://оrсіd.оrg/0000-0001-9463-1935, Semey, Kazakhstan;
Tanysheva Gulyash Altyngazinovna – Candidate of Medical Sciences, Head of the Department of Obstetrics and Gynecology, NCJSC «Semey Medical University», phone 8 777 153 53 57, email gulyash1965@mail.ru, https://orcid.org/0000-0001-9531-5950, Semey, Kazakhstan;
Goremykina Maya Valentinovna - Candidate of Medical Sciences, Associate Professor of the Department of Internal Medicine and Rheumatology, NCJSC «Semey Medical University», phone 8 777 390 8234, email maiya.goremykina@smu.edu.kz, Semey, Kazakhstan;
Kudaibergenova Nazym Konyrovna - Candidate of Medical Sciences, Associate Professor of the Department of Infectious Diseases, Dermatovenerology and Immunology, NJSC "Semey Medical University", phone: 8 705 188 0836, e-mail: nazym.kudaibergenova@smu.edu.kz, https://orcid.org/0000-0002-2679-6399, Semey, Kazakhstan;
Berikuly Duman - PhD of Public Health, Vice-Rector for Postgraduate Education and Organizational Issues, NJSC "Semey Medical University", phone: 8 705 506 56 09; e-mail: duman.berikuly@smu.edu.kz; https://orcid.org/0000-0002-9738-7453
Argynbekova Dilnaz Zhenisovna – Intern of 6 course GM, NJSC "Semey Medical University", phone: 8 707 967 58 79, e-mail: argynbekovadilnaz17@gmail.com, https://orcid.org/0009-0004-5150-3764, Semey, Kazakhstan;
Mautkhanova Aruzhan Kairatkyzy - intern of 6 course GM, NJSC "Semey Medical University", phone: 8 705 672 71 07, e-mail: amautxanova@inbox.ru, https://orcid.org/0009-0009-8560-9694, Semey, Kazakhstan.
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Maukayeva S.B., Nuralinova G.I., Issabekova Zh.B., Apbasova S.A., Shabdarbayeva D.M., Tanysheva G.A., Goremykina M.V., Kudaibergenova N.K., Berikuly D., Argynbekova D.Zh., Mautkhanova A.K. Community-acquired pneumonia in pregnant. Clinical case // Nauka i Zdravookhranenie [Science & Healthcare]. 2024. Vol.26 (6), pp. 234-241. doi 10.34689/SH.2024.26.6.027Related publications:
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