Critical respiratory failure in pregnancy complicated with COVID-19 : A case report
© 2021 The Authors..
The case is presented of a 29-year-old primiparous woman who was COVID-19-positive at 34 weeks of gestation and who developed severe acute respiratory distress syndrome. After a four-day history of fever and mild dyspnea, she was referred to hospital. Ciclesonide, dexamethasone, heparin sodium, and sulbactam/ampicillin were initiated, followed by remdesivir and tocilizumab. On the fourth day after admission (at 34 weeks 5 days of gestation), respiratory failure required ventilator management. An emergency cesarean section was performed and a 2565-g male infant was delivered with an Apgar score of 8/8 and negative COVID-19 status. However, on the following day the patient's respiratory condition deteriorated and mechanical ventilation was initiated. Subsequently, her respiratory condition quickly improved and mechanical ventilation was terminated 4 days after intubation. She was discharged 12 days after cesarean delivery. Our case provides additional evidence that raises concerns regarding the unfavorable maternal consequences of COVID-19 infection during pregnancy.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:30 |
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| Enthalten in: |
Case reports in women's health - 30(2021) vom: 22. Apr., Seite e00309 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Chinen, Yukiko [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Revised 28.04.2021 published: Print-Electronic Citation Status PubMed-not-MEDLINE |
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| doi: |
10.1016/j.crwh.2021.e00309 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM323335543 |
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| 520 | |a © 2021 The Authors. | ||
| 520 | |a The case is presented of a 29-year-old primiparous woman who was COVID-19-positive at 34 weeks of gestation and who developed severe acute respiratory distress syndrome. After a four-day history of fever and mild dyspnea, she was referred to hospital. Ciclesonide, dexamethasone, heparin sodium, and sulbactam/ampicillin were initiated, followed by remdesivir and tocilizumab. On the fourth day after admission (at 34 weeks 5 days of gestation), respiratory failure required ventilator management. An emergency cesarean section was performed and a 2565-g male infant was delivered with an Apgar score of 8/8 and negative COVID-19 status. However, on the following day the patient's respiratory condition deteriorated and mechanical ventilation was initiated. Subsequently, her respiratory condition quickly improved and mechanical ventilation was terminated 4 days after intubation. She was discharged 12 days after cesarean delivery. Our case provides additional evidence that raises concerns regarding the unfavorable maternal consequences of COVID-19 infection during pregnancy | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a COVID-19 | |
| 650 | 4 | |a Pneumonia | |
| 650 | 4 | |a Pregnancy | |
| 650 | 4 | |a Respiratory failure | |
| 700 | 1 | |a Kinjyo, Yoshino |e verfasserin |4 aut | |
| 700 | 1 | |a Mekaru, Keiko |e verfasserin |4 aut | |
| 700 | 1 | |a Kinjo, Tadatsugu |e verfasserin |4 aut | |
| 700 | 1 | |a Higure, Yuuri |e verfasserin |4 aut | |
| 700 | 1 | |a Kinjo, Takeshi |e verfasserin |4 aut | |
| 700 | 1 | |a Miyagi, Kazuya |e verfasserin |4 aut | |
| 700 | 1 | |a Yamada, Hisako |e verfasserin |4 aut | |
| 700 | 1 | |a Masamoto, Hitoshi |e verfasserin |4 aut | |
| 700 | 1 | |a Goya, Hideki |e verfasserin |4 aut | |
| 700 | 1 | |a Yoshida, Tomohide |e verfasserin |4 aut | |
| 700 | 1 | |a Maeshiro, Sakiko |e verfasserin |4 aut | |
| 700 | 1 | |a Nakamatsu, Masashi |e verfasserin |4 aut | |
| 700 | 1 | |a Fujita, Jiro |e verfasserin |4 aut | |
| 700 | 1 | |a Aoki, Yoichi |e verfasserin |4 aut | |
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