Infect Chemother.  2011 Apr;43(2):225-228. 10.3947/ic.2011.43.2.225.

A Fatal Case in Pregnant Woman Infected by H1N1 2009 in Korea

• Hur JA

• KMID: 1782368
• DOI: http://doi.org/10.3947/ic.2011.43.2.225

Abstract

Pregnant women is known to be at risk of high morbiding and mortality from H1N1 2009. Since the emergence of H1N1 2009 in Korean in April 2009, fatal case has not been reported in the Korean pregnant women yet. This is the first report of fatal case in pregnant women associated with H1N1 2009 infection in Korea. A 29-year-old woman at 32 weeks of gestation presented with pneumonia associated with H1N1 2009 infection, progressed into acute respiratory distress syndrome. On the fourth day of admission fetal distress development. The patient died from refractory critical hypoxemia and multiple organ failure on the 5th hospital day in spite of receiving extracorporeal membrane oxygenation therapy and intravenous peramivir.

Keyword

Pandemic; Influenza; Pregnancy; Peramivir; ECMO

MeSH Terms

Adult
Anoxia
Cyclopentanes
Extracorporeal Membrane Oxygenation
Female
Fetal Distress
Guanidines
Humans
Influenza, Human
Korea
Multiple Organ Failure
Pandemics
Pneumonia
Pregnancy
Pregnant Women
Respiratory Distress Syndrome, Adult
Cyclopentanes
Guanidines

Figure

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  Figure 1 Chest radiography at the 1st (A), the 2nd (B), the 3rd (C) and the 5th day (D) of admission showed progression multifocal patchy consoldiation both lung fields

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  Figure 2 High resolution computed tomography of the chest at the 2nd day of admission showed bilateral consolidation and nodules

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