Measles in an HIV infected pregnant woman in Ukraine: A case report

Abstract

Background: Ukraine had the highest population affected by measles in the world in 2018. This disease is especially dangerous for people with a severe immunodeficiency, including HIV-positive patients. Aim: The aim of this study was to analyse the case of a pregnant, HIV-positive woman who was also affected by measles at the time of pregnancy. Case Report: Here we present the case of a woman, who is 20 years old and had a second pregnancy at that time. She caught measles during first trimester of pregnancy. However, it is important to indicate that the patient was HIV-positive, also identified as Z21, which is decoded as a primary, asymptomatic stage of HIV, also sexually transmitted. The specialists concluded that according to an ultrasound scanning and marker assessment (13-17 weeks pregnant) no abnormalities were identified. To our understanding, the factors that promoted successful development and outcome of this pregnancy are as follows: the age of the patient (20 y.o.), absence of any extragenital pathologies, primary stage of HIV, absence of reduction in CD4 count and efficient antiretroviral therapy. Conclusion: This case demonstrates that a combination of such pathologies as measles and HIV during pregnancy does not always negatively affect a newborn.