SARS-COV-2 infection during pregnancy, a risk factor for eclampsia or neurological manifestations of COVID-19? Case report

Autor: Alejandro Garcia Rodriguez, Sergio Marcos Contreras, Santiago Manuel Fernandez Manovel, Jose Miguel Marcos Vidal, Fernando Diez Buron, Camino Fernandez Fernandez, Maria del Carmen Riveira Gonzalez
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: BMC Pregnancy and Childbirth, Vol 20, Iss 1, Pp 1-3 (2020)
Druh dokumentu: article
ISSN: 1471-2393
DOI: 10.1186/s12884-020-03275-2
Popis: Abstract Background There are no published cases of tonic-clonic seizures and posterior bilateral blindness during pregnancy and Severe Acute Respiratory Syndrome (SARS) Coronavirus (COV) 2 (SARS-COV-2) infection. We do not just face new and unknown manifestations, but also how different patient groups are affected by SARS-COV-2 infection, such as pregnant women. Coronavirus Disease 2019 (COVID-19), preeclampsia, eclampsia and posterior reversible leukoencephalopathy share endothelium damage and similar pathophysiology. Case presentation A 35-year-old pregnant woman was admitted for tonic-clonic seizures and SARS-COV-2 infection. She had a normal pregnancy control and no other symptoms before tonic-clonic seizures development. After a Caesarean section (C-section) she developed high blood pressure, and we initiated antihypertensive treatment with labetalol, amlodipine and captopril. Few hours later she developed symptoms of cortical blindness that resolved in 72 h with normal brain computed tomography (CT) angiography. Conclusion The authors conclude that SARS COV-2 infection could promote brain endothelial damage and facilitate neurological complications during pregnancy.
Databáze: Directory of Open Access Journals
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