# Leptospirosis-Associated Acute Respiratory Distress Syndrome (ARDS) in Pregnancy: A Rare Presentation

## TL;DR

A pregnant woman with leptospirosis developed ARDS but recovered after timely treatment and cesarean delivery.

## Contribution

Highlights a rare case of leptospirosis-associated ARDS in pregnancy and emphasizes the need for prompt diagnosis and multidisciplinary care.

## Key findings

- Leptospirosis can present as ARDS in pregnancy with fever and dyspnea.
- Timely antibiotic therapy and emergency cesarean improved maternal and neonatal outcomes.
- Multidisciplinary management is crucial for leptospirosis in pregnant patients.

## 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.