Although we did not find a characteristic profile of cytokines, metals or the combination of both in maternal death, severe pneumonia or ICU admission, it is important to highlight the fact that all patients who did not survive presented a cytokine storm characterized by IL-1a and IP-10 levels above the severe group mean and at the same time, Zn2+ and Fe3+ levels below the severe group mean. This evidence concerns the gene IL1A and pneumonia.