Diagnostic dilemmas in a pregnant woman with influenza a (H1N1) infection

Laura G. Greer, Mina Abbassi-Ghanavati, Jeanne S. Sheffield, Brian M. Casey

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

Backgrond: Pregnant women are at increased risk for complications from seasonal influenza. Early data suggest that influenza A (H1N1) may present an even greater risk. Case: We present the case of a pregnant woman with severe pulmonary complications from 2009 H1N1 whose care was further complicated by delay in diagnosis and unusual laboratory abnormalities. Conclusion: H1N1 may pose several diagnostic challenges for obstetricians, including increased rates of serious pulmonary complications, decreased sensitivity of rapid tests with delay in initiation of antiviral therapy, and abnormal laboratory findings usually associated with other complications of pregnancy. We document these problems, urge initiation of antiviral therapy based on clinical suspicion, and recognize the potential laboratory abnormalities that may be associated with severe influenza illness.

Original languageEnglish (US)
Pages (from-to)409-412
Number of pages4
JournalObstetrics and gynecology
Volume115
Issue number2 SUPPL. 2 PART. 2
DOIs
StatePublished - Feb 1 2010

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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    Greer, L. G., Abbassi-Ghanavati, M., Sheffield, J. S., & Casey, B. M. (2010). Diagnostic dilemmas in a pregnant woman with influenza a (H1N1) infection. Obstetrics and gynecology, 115(2 SUPPL. 2 PART. 2), 409-412. https://doi.org/10.1097/AOG.0b013e3181cbc8d0