A Report of Two Cases of Human Metapneumovirus Infection in Pregnancy Involving Superimposed Bacterial Pneumonia and Severe Respiratory Illness
Bibliographic record
Abstract
Human metapneumovirus (HMPV) is a cause of mild to severe respiratory viral infection. There are few descriptions of infection with HMPV in pregnancy. We present two cases of HMPV infection occurring in pregnancy, including a case of superimposed bacterial pneumonia in a pregnant woman after HMPV infection. In the first case, a 40-year-old woman at 29 weeks of gestation developed an asthma exacerbation in association with a positive respiratory pathogen panel (RPP) for HMPV infection. She was admitted to the intensive care unit (ICU) for progressive respiratory failure. In the second case, a 36-year-old woman at 31 weeks of gestation developed respiratory distress in association with a positive RPP for HMPV. A subsequent sputum culture was positive for beta-lactamase producing Haemophilus influenzae raising concern for superimposed bacterial pneumonia. HMPV can be an important cause of severe respiratory illness in pregnant women and may predispose pregnant women to superimposed bacterial pneumonia. J Clin Gynecol Obstet. 2019;8(4):107-110 doi: https://doi.org/10.14740/jcgo573
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.009 |
| Meta-epidemiology (narrow) | 0.002 | 0.002 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.003 | 0.002 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.002 | 0.003 |
| Research integrity | 0.007 | 0.004 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".