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Chlamydial psittacosis during pregnancy: a case report
R B Gherman1, L L Leventis, R C Miller
1Department of Obstetrics and Gynecology, Bethesda Naval Hospital, National Naval Medical Center, Maryland, USA.
Obstetrics and Gynecology
|October 1, 1995
Summary
Chlamydia psittaci pneumonia in pregnancy can cause severe maternal and fetal complications. Early delivery may improve outcomes when standard treatments are ineffective.
Area of Science:
- Obstetrics and Gynecology
- Infectious Diseases
- Perinatology
Background:
- Chlamydia psittaci infection usually causes mild illness but can be severe during pregnancy.
- Ovine-acquired psittacosis presents risks to both mother and fetus.
- Pregnancy complications include headache, hypoxemia, thrombocytopenia, anemia, hepatic dysfunction, and DIC.
Observation:
- A pregnant patient at 32 weeks gestation developed C psittaci pneumonia after parakeet exposure.
- Worsening maternal respiratory status, coagulopathy, and fetal compromise occurred.
- Cesarean delivery was performed due to the critical condition.
Findings:
- Avian strains of C psittaci can lead to atypical pneumonia in pregnant individuals.
- Massive placental infection can impair placental perfusion.
- Erythromycin may be ineffective, suggesting tetracyclines might be considered despite fetal risks.
Implications:
- Early delivery can lead to favorable maternal and fetal outcomes in persistent C psittaci infections.
- This case highlights the importance of considering psittacosis in pregnant patients with respiratory illness and potential avian exposure.
- Further research into optimal treatment strategies for C psittaci during pregnancy is warranted.