title: Adult Respiratory Distress Disorder Due to Legionnaires Disease in Pregnancy: A Case Report.
abstract: BACKGROUND
  Pneumonia caused by the atypical pathogen Legionella pneumophila during pregnancy is a rare occurrence that carries substantial maternal and fetal risk.
  
  
  METHODS
  A 36-year-old woman, G3P2002, presented at 33(2/7) weeks' gestation with 6 days of worsening cough, fever, and shortness of breath. She was admitted to the intensive care unit and suffered acute respiratory failure requiring mechanical ventilation. Aggressive diagnostic efforts showed sero- positivity for Legionella IgM. The patient recovered following antibiotic therapy and cesarean delivery.
  
  
  CONCLUSIONS
  Successful treatment of Legionnaires disease requires a high degree of clinical suspicion and prompt empirical treatment when severe community-acquired pneumonia is encountered. In severe cases that are refractory to antimicrobial treatment, cesarean delivery may help resolve compromised maternal respiratory status.
authors.forename: Adam
authors.initials: A
authors.lastname: Close
authors.forename: Alexis
authors.initials: A
authors.lastname: Gimovsky
authors.forename: Charles
authors.initials: C
authors.lastname: Macri
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007877:Legionnaires' Disease; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious; D012128:Respiratory Distress Syndrome