A 32-year-old Caucasian woman of body mass index (BMI) 46 presented with urinary 
symptoms to accident and emergency (A&E). Acute pyelonephritis was the 
diagnosis. Transabdominal scan revealed a live term fetus. Both the partners 
were unaware of the ongoing pregnancy until diagnosed. She underwent emergency 
cesarean under general anaesthesia (GA) for nonreassuring CTG, severe 
chorioamnionitis, and moderate preecclampsia. A live male baby weighing 4400 
grams delivered in poor condition. Placental tissue on culture exhibited scanty 
growth of pseudomonas aeruginosa. Chorioamnionitis due to pseudomonas is rare, 
with high neonatal morbidity and mortality. It is mostly reported among preterm 
prelabor rupture of membranes (PPROM). Educating the community especially 
morbidly obese women if they put on excessive weight or with irregular periods 
should seek doctor's advice and exclude pregnancy. For the primary care 
provider, it is of great importance to exclude pregnancy in any reproductive 
woman presenting with abdominal complaints. This case also brings to clinicians 
notice that pseudomonas can be community-acquired and can affect term 
pregnancies with intact or prolonged rupture of membranes.