Successful pregnancy outcome after complicated varicella pneumonia.

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.