Nguyen Philippe, Weber Florence, Mahone Michèle
Department of Internal Medicine, Saint-Luc Hospital, Centre Hospitalier de l'Université de Montreal, Canada.
Obstet Med. 2013 Dec;6(4):172-4. doi: 10.1177/1753495X13486636. Epub 2013 Jul 11.
A 30-year-old woman presented at 19 weeks of gestation with symptoms of sore throat, rhinorrhea and haemoptysis that progressed to massive haemoptysis. Her medical history included asthma and a history of smoking prior to pregnancy. Investigations revealed no obvious cause of bleeding. Right lower lobe lobectomy was performed, given the suspicion of a lesion within the intermediate bronchus. The patient developed adult respiratory distress syndrome around 36 h postoperatively. Polymerase chain reaction testing on bronchoalveolar lavage samples was positive for influenza A. Therapy with oseltamivir was initiated. She was discharged two weeks later. This is a rare case of a severe complication from seasonal interpandemic influenza during pregnancy, which underscores the importance of immunization for pregnant women.
一名30岁女性在妊娠19周时出现咽痛、流涕和咯血症状，后进展为大量咯血。她的病史包括哮喘以及妊娠前有吸烟史。检查未发现明显的出血原因。鉴于怀疑中间支气管内有病变，遂进行了右下叶肺叶切除术。患者在术后约36小时出现成人呼吸窘迫综合征。支气管肺泡灌洗样本的聚合酶链反应检测显示甲型流感呈阳性。开始使用奥司他韦进行治疗。两周后她出院了。这是一例妊娠期季节性流感大流行间期严重并发症的罕见病例，突出了孕妇免疫接种的重要性。
