Ventilator Management of Bronchopleural Fistula Secondary to Methicillin-Resistant Necrotizing Pneumonia in a Pregnant Patient with Systemic Lupus Erythematosus.

Managing mechanical ventilation in patient with bronchopleural fistula with coexisting acute respiratory distress syndrome is a challenging situation for the intensivist. We are reporting a case of a pregnant patient with systemic lupus erythematosus on immunosuppressive medications who developed methicillin-resistant necrotizing pneumonia complicated by bronchopleural fistula and acute respiratory distress syndrome.