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Successful pregnancy outcome after complicated varicella pneumonia
P C Chandra1, H Patel, H J Schiavello
1Department of Obstetrics and Gynecology, Wyckoff Heights Medical Center, Brooklyn, New York 11237, USA.
Background:
Maternal and fetal morbidity and mortality associated with varicella pneumonia in the peripartum period are increased further with multiple complications.
Case:
The patient had varicella pneumonitis acquired at 32 weeks' gestation and complicated by bacterial superinfection, adult respiratory distress syndrome, endotoxin shock, and bronchiolitis obliterans organizing pneumonia.
Conclusion:
Aggressive, timely management of respiratory failure, control of infection, correction of endotoxin shock, treatment of biopsy-proven bronchiolitis obliterans organizing pneumonia, and obstetric intervention for fetal compromise produced a good outcome for mother and infant.
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