Acute Respiratory Distress Syndrome (ARDS) Case Report after a Caesarean Section Related to the Immune Reconstitution Inflammatory Syndrome

Abstract

During pregnancy, a cellular immunosuppressant status is produced. It is characterized by anti-inflammatory cellular responses that allow embryonic implantation. The reversal of these changes during the postpartum period may result in overt clinical manifestations of otherwise quiescent or latent infections. We present an Acute Respiratory Distress Syndrome (ARDS) case after a caesarean section related to the Immune Reconstitution Inflammatory Syndrome (IRIS) in a Guinean black woman. The patient was treated with large doses of corticosteroids showing a great clinical and radiological improvement.

Magnitude of Caesarean Section and Associated Factors among Mothers Who Delivered in Nigist Eleni Mohammed Memorial Referral Hospital, Hossana Town, Southern Ethiopia

“…Although C/S is important, unnecessary CS causes maternal and perinatal morbidity like postpartum hemorrhage, reduced fertility, and placental complications such as placental previa, vasa previa, and abruption placenta in subsequent pregnancies for mothers and increases the duration of time for the next pregnancy (Becher et al, 2013;Mölgg et al, 2014;O'Neill et al, 2014). Besides, C/S increases the risk of postpartum respiratory morbidity, inflammatory Bowel disease, Type-1 diabetes, and obesity for children, postoperative pain, cost, prolonged hospital stay, neonatal respiratory distress, and delay breastfeeding initiation and substantial economic burden for the country (Ramiro et al, 2014;Shamsa et al, 2013).…”