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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 영남대학교 의과대학 Journal of Yeungnam Medical Science Yeungnam University Journal of Medicine 제35권 제1호
- 발행연도
- 2018.1
- 수록면
- 84 - 88 (5page)
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A 33-year-old woman visited the emergency department presenting with fever and dyspnea. She was pregnant with gestational age of 31 weeks and 6 days. She had dysuria for 7 days, and fever and dyspnea for 1 day. The vital signs were as follows: blood pressure 110/70 mmHg, heart rate 118 beats/minute, respiratory rate 28/minute, body temperature 38.7℃, and oxygen saturation by pulse oximetry 84% during inhalation of 5 liters of oxygen by nasal prongs. Crackles were heard over both lung fields. There were no signs of uterine contractions. Chest X-ray and chest computed tomography scan showed multiple consolidations and air bronchograms in both lungs. According to urinalysis, there was pyuria and microscopic hematuria. She was diagnosed with community-acquired pneumonia and urinary tract infection (UTI) that progressed to severe sepsis and acute respiratory failure. We found extended-spectrum beta-lactamase producing Escherichia coli in the blood culture and methicillin-resistant Staphylococcus aureus in the sputum culture. The patient was transferred to the intensive care unit with administration of antibiotics and supplementation of high-flow oxygen. On hospital day 2, hypoxemia was aggravated. She underwent endotracheal intubation and mechanical ventilation. After 3 hours, fetal distress was suspected. Under 100% fraction of inspired oxygen, her oxygen partial pressure was 87 mmHg in the arterial blood. She developed acute kidney injury and thrombocytopenia. We diagnosed her with multi-organ failure due to severe sepsis. After an emergent cesarean section, pneumonia, UTI, and other organ failures gradually recovered. The patient and baby were discharged soon thereafter.
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참고문헌 (15)
참고문헌 신청
Fernandez-Perez ER / 2005 / Sepsis during pregnancy / Crit Care Med 33(10 Suppl):S286~S293
Say L / 2014 / Global causes of maternal death: a WHO systematic analysis / Lancet Glob Health 2:e323~e333
Snyder CC / 2013 / Severe sepsis and septic shock in pregnancy: indications for delivery and maternal and perinatal outcomes / J Matern Fetal Neonatal Med 26:503~506
1992 / American College of Chest Physicians/Society of Critical Care Medicine Consensus Conference: definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis / Crit Care Med 20:864~874
Martin GS / 2003 / The epidemiology of sepsis in the United States from 1979 through 2000 / N Engl J Med 348:1546~1554
Say L / 2014 / Global causes of maternal death: a WHO systematic analysis / Lancet Glob Health 2:e323~e333
Snyder CC / 2013 / Severe sepsis and septic shock in pregnancy: indications for delivery and maternal and perinatal outcomes / J Matern Fetal Neonatal Med 26:503~506
1992 / American College of Chest Physicians/Society of Critical Care Medicine Consensus Conference: definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis / Crit Care Med 20:864~874
Martin GS / 2003 / The epidemiology of sepsis in the United States from 1979 through 2000 / N Engl J Med 348:1546~1554
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