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

Autor: Yukiko Chinen, Yoshino Kinjyo, Keiko Mekaru, Tadatsugu Kinjo, Yuuri Higure, Takeshi Kinjo, Kazuya Miyagi, Hisako Yamada, Hitoshi Masamoto, Hideki Goya, Tomohide Yoshida, Sakiko Maeshiro, Masashi Nakamatsu, Jiro Fujita, Yoichi Aoki
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Case Reports in Women's Health, Vol 30, Iss , Pp e00309- (2021)
Druh dokumentu: article
ISSN: 2214-9112
DOI: 10.1016/j.crwh.2021.e00309
Popis: 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.
Databáze: Directory of Open Access Journals