Extra pulmonary Manifestation of Legionella Pneumophila infection in Pregnancy Complicated with Foetal Loss: A Case Report
Aaron Ignatius *
Department of O&G, Hospital Sungai Buloh, Malaysia.
Seema Sehgal
Department of O&G, Hospital Sungai Buloh, Malaysia.
*Author to whom correspondence should be addressed.
Abstract
Legionella pneumonia during pregnancy is exceptionally rare however may lead to severe maternal sepsis and fetal compromise. We report a case of a 35-year-old gravida 4 para 3/ G4P3 at 36 weeks gestation who presented with nonspecific symptoms, later developing septic shock and intrauterine fetal demise, with Legionella antigen subsequently confirmed in urine. The patient’s course was complicated with disseminated intravascular coagulopathy (DIVC) and postpartum hemorrhage (PPH), requiring intensive care and multidisciplinary management. Early suspicion, prompt antimicrobial therapy, and coordinated critical care are crucial to improving maternal outcomes in such atypical presentations.
Keywords: Legionella pneumonia, infection, pregnancy, disseminated intravascular coagulopathy (DIVC)