Coronavirus Disease 2019 (COVID-19)–Related Multisystem Inflammatory Syndrome in a Pregnant Woman
| Autor: | Cara Staszewski, Hima Tam Tam, Clarissa Bonanno, Evelina Grayver, Moti Gulersen, Eric Gottesman, Burton Rochelson, Donnie Isseroff |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Myocarditis Critical Illness medicine.medical_treatment Case Report Chest pain 03 medical and health sciences COVID-19 Testing 0302 clinical medicine Pregnancy Obstetrics and Gynaecology medicine Humans 030212 general & internal medicine Pregnancy Complications Infectious Mechanical ventilation 030219 obstetrics & reproductive medicine biology business.industry Cardiogenic shock Organ dysfunction Infant Newborn Pregnancy Outcome COVID-19 Obstetrics and Gynecology medicine.disease Systemic Inflammatory Response Syndrome biology.protein Gestation Contents Female medicine.symptom Antibody business |
| Zdroj: | Obstetrics & Gynecology Obstetrics and Gynecology |
| ISSN: | 0029-7844 |
| Popis: | Treatment with intravenous immunoglobin and high-dose corticosteroids was associated with rapid improvement of coronavirus disease 2019 (COVID-19)–related multisystem inflammatory syndrome in a pregnant woman. BACKGROUND: Recent reports have described a rare but severe complication of coronavirus disease 2019 (COVID-19) in nonpregnant adults that is associated with extrapulmonary organ dysfunction and appears to be secondary to a hyperinflammatory state. CASE: A multiparous woman at 28 weeks of gestation, diagnosed with COVID-19 4 weeks prior, was admitted with chest pain. Evaluation indicated myocarditis and marked elevations of inflammatory markers consistent with multisystem inflammatory syndrome in adults. The patient developed cardiogenic shock and required mechanical ventilation. Treatment with intravenous immunoglobulin and high-dose corticosteroids was associated with a favorable maternal and fetal outcome. CONCLUSION: Multisystem inflammatory syndrome in adults associated with COVID-19 in pregnancy is a critical illness, presenting several weeks after initial infection. Treatment with intravenous immunoglobin and corticosteroids was associated with a favorable outcome. |
| Databáze: | OpenAIRE |
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