Ch 49 Pneumonia

Question 1

Pneumonia may follow common viral upper respiratory illnesses. Any pregnant woman suspected of having pneumonia should undergo anterooisterior and lateral chest radiography

Answer 1

T

Question 2

Incidence pneumonia complicating pregnancy:
1.5 per 1000
Most common organism is

Answer 2

Streptococcus pneumoniae

Question 3

Dx of pneumonia 
COUGH 90%
Dyspnea 65%
Sputum production 65%
Pleuritic chest pain 50%

Upper respiratory symptoms and malaise precede these symptoms

Respiratory rate >30/min. , hypotension, hypothermia , altered mental status
Lab findings:leukopenia (<4000)
Thrombocytopenia(<100,000) or uremia
Chest X-ray: multilobar infiltrates

Answer 3

T

Question 4

Antimicrobial treatment is empirical. Initial dose : erythromycin q6hrs I’ve initially

Answer 4

T

Question 5

VIRAL PNEUMONIA

USUALLY CLINICAL COURSE OF 2-5 days

Answer 5

T

Question 6

Oseltamivir 75 mg bid is effective in reducing severity of infection if begun within 48 hrs of symptoms.
Drugs considered low risk during pregnancy.

Answer 6

T

Question 7

Varicella pneumonia
If primary infection, typical
Maculopapular and vesicular rash accompanied by co story too al symptoms and fever for 3-5 days. If infection occurs before 20 weeks, fetus can be infected and permanent sequelae may result.

Answer 7

Prophylaxis: varicella zoster immunoglobulin VZIG experimental
Protocol. Not available in USA. Will either attenuate or prevent infection in exposed individuals.