Background: Maternal and fetal morbidity and mortality associated with
varicella pneumonia in the peripartum period are increased further wi
th multiple complications. Case: The patient had varicella pneumonitis
acquired at 32 weeks' gestation and complicated by bacterial superinf
ection, adult respiratory distress syndrome, endotoxin shock, and bron
chiolitis obliterans organizing pneumonia. Conclusion: Aggressive, tim
ely management of respiratory failure, control of infection, correctio
n of endotoxin shock, treatment of biopsy-proven bronchiolitis obliter
ans organizing pneumonia, and obstetric intervention for fetal comprom
ise produced a good outcome for mother and infant. (Obstet Gynecol 199
8;92:650-2). (C) 1998 by The American College of Obstetricians and Gyn
ecologists.).