Varicella Pneumonia in a 39-year-old Female in Third Trimester Twin Pregnancy.
BACKGROUND
none declared.


BACKGROUND
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.


METHODS
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 patient's 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.


CONCLUSIONS
Varicella pneumonia during third trimester may have serious consequences for mother and child, with possible fatal outcome.
Clinic for Infectious Diseases, Clinical Center University of Sarajevo , Sarajevo, Bosnia and Herzegovina.
Rusmir
R
Baljic
Clinic for Infectious Diseases, Clinical Center University of Sarajevo , Sarajevo, Bosnia and Herzegovina.
Meliha
M
Hadzovic
Clinic for Infectious Diseases, Clinical Center University of Sarajevo , Sarajevo, Bosnia and Herzegovina.
Snjezana
S
Mehanic
Clinic for Infectious Diseases, Clinical Center University of Sarajevo , Sarajevo, Bosnia and Herzegovina.
Enra
E
Lukovac
Clinic for Infectious Diseases, Clinical Center University of Sarajevo , Sarajevo, Bosnia and Herzegovina.
Nada
N
Koluder-Cimic
Klinik für HNO, HELIOS-Klinikum Erfurt , Erfurt, Germany.
Izet
I
Baljic
Cantonal Hospital Zenica, Department for Radiology , Zenica, Bosnia and Herzegovina.
Bilal
B
Imsirovic
pneumonia; pregnancy; varicella