COMMUNITY-ACQUIRED PNEUMONIA IN PREGNANT. CLINICAL CASE
DOI:
https://doi.org/10.34689/SH.2024.26.6.027Keywords:
pregnancy , community-acquired pneumonia , lethal courseAbstract
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
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Copyright (c) 2025 Сауле Маукаева, Дильназ Аргынбекова, Думан Берікұлы, Назым Кудайбергенова, Майя Горемыкина, Гульяш Танышева, Дария Шабдарбаева, Саулеш Апбасова, Жанара Исабекова, Гульнара Нуралинова, Аружан Маутханова (Автор)
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