0
Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 29-Year-Old Female at 33 Weeks’ Gestation With Respiratory Failure

Robert B. Gayle, DO; David A. Dorsey, MD, FCCP; Michael A. Cole, MD; Christopher S. King, MD
Author and Funding Information

From the Department of Medicine (Dr Gayle), the Department of Pulmonary/Critical Care Medicine (Drs Dorsey and King), and the Department of Critical Care Medicine (Dr Cole), William Beaumont Army Medical Center, El Paso, TX.

Correspondence to: Christopher S. King, MD, Pulmonary/Critical Care Medicine, William Beaumont Army Medical Center, 684 Moondale Dr, El Paso, TX 79912; e-mail: Christopher.king@amedd.army.mil


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestpubs.org/site/misc/reprints.xhtml).


© 2010 American College of Chest Physicians


Chest. 2010;137(6):1474-1478. doi:10.1378/chest.09-2860
Text Size: A A A
Published online

Extract

A 29-year-old female at 33 weeks’ gestation presented to our hospital following a syncopal episode. The patient reported her symptoms started 7 days earlier as rhinorrhea and cough, with the subsequent development of myalgias, lethargy, fever, and progressive dyspnea. Two days earlier, the patient had presented to the ED of our hospital with similar complaints. The patient was released with prescriptions for albuterol, azithromycin, and acetaminophen. Her dyspnea continued to progress, ultimately culminating in the syncopal episode leading to admission. The patient endorsed a cough productive of nonbloody yellowish sputum and fevers to 39.4°C at home. She denied nausea, vomiting, diarrhea, or abdominal pain. She had no known sick contacts. She reported no chronic medical problems. Her surgical history included breast augmentation and a prior dilation and curettage performed for a spontaneous abortion with retained products. There had been no complications with the current pregnancy. She did not smoke or use illicit drugs and rarely drank alcohol. The patient was an active-duty soldier reassigned to the El Paso, Texas, area 2 weeks before presentation. Prior to that she was stationed in South Korea.

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

Suggested Readings

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543