A 35-year-old pregnant woman was admitted to our emergency room 4 weeks prior to her due date because of a sudden headache and unconsciousness. Computed tomography (CT) showed a massive cerebral haemorrhage in the right hemisphere, and she was immediately taken to the operation room for an emergency caesarean section. After the foetus was delivered, she underwent a craniotomy to remove the cerebral haematoma. After 8 h of surgery, the patient was taken to the ICU for further treatment.
Examination
The patient developed dilated pupils without a pupillary response. The CT scan showed mild pneumonia (Figure 1a and b) on day 1. Moxifloxacin was started to treat her pneumonia and to prevent surgical site infections. Laboratory examinations on admission revealed a leukocyte count of 10*10^9/ml and a C-reactive protein level of 21.9 mg/L. As the pneumonia progressed, the patient developed febrile fever with a temperature between 38.5–39.5 °C and developed more grossly purulent tracheobronchial secretions, and laboratory studies showed an increased leukocyte count.
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