Case 16-2016: A 31-Year-Old Pregnant Woman with Fever

A 31-year-old woman who was pregnant with dichorionic, diamniotic twins presented at 35 weeks of gestation with fever, rigor, malaise, myalgias, anorexia, and loose stools. A chest radiograph revealed patchy right basilar opacities. Diagnostic test results were received. Presentation of Case Dr. Pietro Bortoletto (Obstetrics and Gynecology): A 31-year-old primigravid woman was seen in the labor and delivery unit of this hospital at 35 weeks of gestation because of fever. The patient was pregnant with dichorionic, diamniotic twins, and her gestation was complicated by iron-deficiency anemia and hyperemesis. Approximately 3 weeks before this evaluation, mild pruritus of the palms and soles developed. At 32 weeks 5 days of gestation (16 days before this evaluation), the patient was afebrile, had no visible rash, and reported fetal activity; both fetal hearts were heard on auscultation. Laboratory test results are shown . . .