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Critical respiratory failure in pregnancy complicated with COVID-19: A case report. | LitMetric

AI Article Synopsis

  • - A 29-year-old pregnant woman infected with COVID-19 at 34 weeks experienced severe respiratory distress and was hospitalized after several days of symptoms.
  • - Despite treatment with various medications and an emergency cesarean section, her condition initially worsened, requiring mechanical ventilation.
  • - She ultimately improved and was discharged 12 days post-delivery, highlighting the serious risks COVID-19 poses to pregnant women and their outcomes.

Article Abstract

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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7986466PMC
http://dx.doi.org/10.1016/j.crwh.2021.e00309DOI Listing

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