Severe ARDS due to Influenza A (H1N1) pdm09 Infection During Pregnancy Followed by Intrauterine Fetal Death at Alka Hospital, Lalitpur

Authors

  • Gentle Sunder Shrestha Department of Anaesthesiology, Tribhuvan University Teaching Hospital
  • A Bhuju Alka Hospital Pvt Ltd., Lalitpur
  • DN Manandhar Department of Nephrology, Nepal Medical College & Teaching Hospital
  • N Sharma Alka Hospital Pvt Ltd, Lalitpur

DOI:

https://doi.org/10.3126/bjhs.v2i2.18533

Keywords:

Influenza A (H₁N₁) pdm09 infection, Intra-uterine fetal death, Pregnancy, Severe ARDS

Abstract

Pandemic due to Influenza A (H1N1) pdm 09 has been a significant cause of morbidity and mortality worldwide. Pregnant women are at risk of severe disease and ARDS, with rapid progression of disease. There is increased risk of fetal loss. Little evidence exists regarding the management of ARDS in pregnancy. Here we report a case of H1N1 virus infection in a pregnant woman in third trimester complicated by severe ARDS and intra-uterine fetal death. Fetus was successfully expelled using vaginal Misoprostol, which was followed by improvement in oxygenation indices. However, the patient died of refractory hypotension. Influenza vaccination in the high risk population may be invaluable.

 Birat Journal of Health Sciences

 Vol.2/No.1/Issue 2/ Jan - April 2017, Page: 227-229

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Author Biographies

Gentle Sunder Shrestha, Department of Anaesthesiology, Tribhuvan University Teaching Hospital

Neuro-Intensivist and Anaesthesiologist, Lecturer

A Bhuju, Alka Hospital Pvt Ltd., Lalitpur

Medical Officer

N Sharma, Alka Hospital Pvt Ltd, Lalitpur

Consultant, Obstetrician & Gynaecologist

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Published

2017-11-02

How to Cite

Shrestha, G. S., Bhuju, A., Manandhar, D., & Sharma, N. (2017). Severe ARDS due to Influenza A (H1N1) pdm09 Infection During Pregnancy Followed by Intrauterine Fetal Death at Alka Hospital, Lalitpur. Birat Journal of Health Sciences, 2(2), 227–229. https://doi.org/10.3126/bjhs.v2i2.18533

Issue

Vol. 2 No. 2 (2017)

Section

Case Reports

License

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