Abstract
Objective: To report a case of sepsis in preterm pregnancy, which occurred in a teaching and research hospital, a reference in the care of high-risk pregnant women in the State of Pará. Case details: Female patient, 26 years old, firstborn, with rheumatoid arthritis, with gestational age of 32 weeks and 3 days complaining of backache and lower abdominal pain. The condition evolved with polyuria, positive Giordano on the right, half-open uterine lap, and loss of mucous plug. On the second day of hospitalization, the patient presented tachycardia and after obstetric ultrasonography, intrauterine fetal death was observed. After evaluation and subsequent worsening of the condition, a new antibiotic and a change of intensive care unit were prescribed, as well as surgical termination of pregnancy. Final considerations: Since of the rapid evolution of sepsis and the difficult diagnosis because the physiological changes of pregnancy, the importance of rapid diagnosis and prompt therapeutic institution is emphasized in order to avoid the main complications, such as maternal-fetal mortality and prematurity.