PDF(Pubmed)
Abstract：
Leptospirosis, a zoonotic disease caused by spirochetes of the genus Leptospira, poses unique challenges in pregnancy due to its varied clinical presentation and potential adverse outcomes for both mother and fetus. We present a case of a 24-year-old primigravida at 35 weeks of gestation who presented with fever, dyspnea, and abdominal pain, and was ultimately diagnosed with leptospirosis complicated by acute respiratory distress syndrome (ARDS). Prompt initiation of antibiotic therapy, supportive care, and timely delivery via emergency cesarean section led to favorable maternal and neonatal outcomes. This case report underscores the importance of considering leptospirosis in pregnant patients presenting with similar symptoms, particularly in endemic regions, and highlights the critical role of multidisciplinary management in optimizing outcomes.
摘要：
钩端螺旋体病,由钩端螺旋体属螺旋体引起的人畜共患疾病，由于其不同的临床表现以及对母亲和胎儿的潜在不良结局，在妊娠中提出了独特的挑战。我们介绍了一个24岁的primigravida在妊娠35周时出现发烧的病例，呼吸困难,还有腹痛,并最终被诊断为钩端螺旋体病并发急性呼吸窘迫综合征（ARDS）。迅速开始抗生素治疗，支持性护理,通过紧急剖宫产及时分娩导致良好的母婴结局。该病例报告强调了在出现类似症状的孕妇中考虑钩端螺旋体病的重要性。特别是在流行地区，并强调了多学科管理在优化成果方面的关键作用。
