The value of chest ultrasound along with inflammatory biomarkers in the management of pneumonia in a non-compliant pregnant woman

Abstract

During pregnancy, one of the possible complications is pneumonia. Early recognition as well as a timely and appropriate therapy is very important to prevent cardio-respiratory failure which may promote premature birth, low birth weight and miscarriage. In pregnancy, a chest X-ray is not contraindicated but may create a considerable state of maternal anxiety. We report a case of pneumonia in a pregnant woman managed with chest ultrasound and laboratory examinations because the patient refused a chest x-ray for fear of a possible fetal harm. This case is paradigmatic of an unusual but effective approach to pneumonia in pregnancy.

Lung ultrasound for the diagnosis of pneumonia in pregnant women with blood system tumors

“…Повторная эхокардиография показала нормальное давление наполнения ЛЖ. Во втором наблюдении [52] у пациентки диагностирована преэклампсия. При УЗИ легких В-линии не выявлялись, отмечалось также нормальное давление наполнения ЛЖ.…”

“…Giannella и соавт. [52] описали наблюдение, в котором применили УЗИ легких для диагностики пневмонии у беременной. Они использовали конвексный датчик (3,5 МГц).…”

“…В течение лечения пациентке выполнялись повторные УЗИ легких, в ходе которых отмечено сначала появление небольшого парапневмонического выпота. Через 10 дней терапии повторное УЗИ легких показало полную регрессию выявляемых ранее изменений [52].…”

Use of POCUS in Chest Pain and Dyspnea in Emergency Department: What Role Could It Have?

“…These symptoms, associated with the presence of risk factors and an increase in inflammatory markers, can guide us towards the diagnosis of pneumonia, for which ultrasound has a high sensitivity, specificity and accuracy [ 42 ]. In particular, in very young or pregnant patients, ultrasound represents a valid option in diagnosing pneumonia [ 43 ].…”

“…Even the finding of a normal type A pattern without pleural or parenchymal changes can be suggestive of some pathologies, such as exacerbations of chronic obstructive pulmonary disease/asthma [ 43 ].…”