Vaginal Discharge and Fever After Hawaii Trip

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Background

A pregnant 29-year-old woman presents with a 2-day history of fever, chills, and abdominal pain associated with serosanguinous vaginal discharge. Her gynecologic history is significant for infertility, spontaneous and therapeutic abortions, cervical human papillomavirus (HPV) infection, and a recent in vitro fertilization (IVF) procedure with egg retrieval. She has a dichorionic diamniotic intrauterine pregnancy by means of IVF and is currently at 20 weeks' gestation.

The patient is otherwise healthy and has no significant past medical or family history. She does not use alcohol, illicit drugs, or tobacco. She has been fully vaccinated with two doses of a COVID-19 mRNA vaccine, as of week 12 of her pregnancy. Her only medication is a prenatal vitamin supplement.

The patient works from home. Recently, she traveled to Hawaii with her husband, who is in the Navy. She transferred her prenatal care from another state.

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Cite this: Ricardo Cedeno-Mendoza, Preeti Bansal, Lisa Pedroza, et. al. Vaginal Discharge and Fever After Hawaii Trip - Medscape - May 06, 2024.

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