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Z Geburtshilfe Neonatol 2021; 225(02): 183-187
DOI: 10.1055/a-1365-9262
DOI: 10.1055/a-1365-9262
Case Report
Peripartum Covid-19 Pneumonia with Severe ARDS – A Case Report
Abstract
Introduction SARS-CoV-2 is a novel coronavirus that was first isolated in Wuhan, China, and resulted in a rapidly spreading pandemic worldwide. Currently there is only limited evidence on the effect of COVID-19 on pregnant women.
Case Here we present one of the first serious COVID-19 cases in pregnancy at term with subsequent delivery. Postpartum the mother required antibiotic and symptomatic treatment. She experienced acute worsening of symptoms and developed acute respiratory failure requiring endotracheal intubation and subsequently extracorporeal membrane oxygenation.
Conclusion COVID-19 affects all medical disciplines, requiring interdisciplinary approaches and development of patient care regimes. Obstetricians should be aware and be prepared for the special needs of pregnant women with potential prenatal and postnatal issues. Ideally pregnant COVID-19 patients should be cared for at a tertiary perinatal center with experienced perinatologists and neonatologists.
Publication History
Received: 18 August 2020
Accepted after revision: 31 December 2020
Article published online:
19 April 2021
© 2021. Thieme. All rights reserved.
Georg Thieme Verlag KG
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References
- 1 van Doremalen N, Bushmaker T, Morris DH. et al. Aerosol and surface stability of SARS-CoV-2 as compared with SARS-CoV-1. N Engl J Med 2020; 382: 1564-1567
- 2 Bajema KL, Oster AM, McGovern OL. et al. Persons Evaluated for 2019 Novel Coronavirus — United States, January 2020. MMWR Morb Mortal Wkly Rep 2020; 69: 166-170 DOI: 10.15585/mmwr.mm6906e1.
- 3 Chan JFW, Yuan S, Kok KH. et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet 2020; 395: 514-523 DOI: 10.1016/S0140-6736(20)30154-9.
- 4 Huang C, Wang Y, Li X. et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020; 395: 497-506 DOI: 10.1016/S0140-673630183-5.
- 5 Verity R, Okell LC, Dorigatti I. et al. Estimates of the severity of coronavirus disease 2019: a model-based analysis. Lancet Infect Dis 2020; 20: 669-677 DOI: 10.1016/S1473-3099(20)30243-7.
- 6 Wang D, Hu B, Hu C. et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA 2020; 323: 1061-1069 DOI: 10.1001/jama.2020.1585.
- 7 Allotey J, Stallings E, Bonet M. et al. Clinical manifestations, risk factors, and maternal and perinatal outcomes of coronavirus disease 2019 in pregnancy: living systematic review and meta-analysis. BMJ 2020; 370: m3320 DOI: 10.1136/bmj.m3320.
- 8 Di Mascio D, Khalil A, Saccone G. et al. Outcome of coronavirus spectrum infections (SARS, MERS, COVID-19) during pregnancy: a systematic review and meta-analysis. Am J Obstet Gynecol MFM 2020; 2: 100107 DOI: 10.1016/j.ajogmf.2020.100107.
- 9 Ellington S, Strid P, Tong VT. et al. Characteristics of women of reproductive age with laboratory-confirmed SARS-CoV-2 infection by pregnancy status — United States, January 22–June 7, 2020. MMWR Morb Mortal Wkly Rep 2020; 69: 769-775 DOI: 10.15585/mmwr.mm6925a1.
- 10 London V, McLaren R, Atallah F. et al. The relationship between status at presentation and outcomes among pregnant women with COVID-19. Am J Perinatol 2020; 37: 991-994 DOI: 10.1055/s-0040-1712164.
- 11 Wenling Y, Junchao Q, Xiao Z. et al. Pregnancy and COVID-19: management and challenges. Rev Inst Med Trop Sao Paulo 2020; 62: e62 DOI: 10.1590/s1678-9946202062062.
- 12 Woodworth KR, Olsen EO, Neelam V. et al. Birth and infant outcomes following laboratory-confirmed SARS-CoV-2 infection in pregnancy — SET-NET, 16 Jurisdictions, March 29–October 14, 2020. MMWR Morb Mortal Wkly Rep 2020; 69: 1635-1640
- 13 Chen H, Guo J, Wang C. et al. Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records. Lancet 2020; 395: 809-815 DOI: 10.1016/S0140-6736(20)30360-3.
- 14 Qiao J. What are the risks of COVID-19 infection in pregnant women?. Lancet 2020; 395: 760-762 DOI: 10.1016/S0140-673630365-2.
- 15 Chambers C, Krogstad P, Bertrand K. et al. Evaluation for SARS-CoV-2 in breast milk from 18 infected women. JAMA 2020; 324: 1347-1348 DOI: 10.1001/jama.2020.15580.
- 16 Schwartz DA. An analysis of 38 pregnant women with COVID-19, their newborn infants, and maternal-fetal transmission of SARS-CoV-2: maternal coronavirus infections and pregnancy outcomes. Arch Pathol Lab Med 2020; DOI: 10.5858/arpa.2020-0901-SA.
- 17 Vivanti AJ, Vauloup-Fellous C. Prevot. et al. Transplacental transmission of SARS-CoV-2 infection. Nat Commun 2020; 11: 3572 DOI: 10.1038/s41467-020-17436-6.
- 18 Zhai P, Ding Y, Wu X. et al. The epidemiology, diagnosis and treatment of COVID-19. Int J Antimicrob Agents 2020; 55: 105055 DOI: 10.1016/j.ijantimicag.2020.105955.
- 19 Zhu H, Wang L, Fang C. et al. Clinical analysis of 10 neonates born to mothers with 2019-nCoV pneumonia. Transl Pediatr 2020; 9: 51-60 DOI: 10.21037/tp.2020.02.06.
- 20 Hosier H, Farhadian SF, Morotti RA. et al. SARS–CoV-2 infection of the placenta. J Clin Invest 2020; 130: 4947-4953 DOI: 10.1172/JCI139569.
- 21 Gao Y, Li T, Han M. et al. Diagnostic utility of clinical laboratory data determinations for patients with the severe COVID-19. J Med Virol 2020; 92: 791-796 DOI: 10.1002/jmv.25770.
- 22 Castro P, Matos AP, Werner H. et al. Covid-19 and pregnancy: an overview. Rev Bras Ginecol Obstet 2020; 42: 420-426 DOI: 10.1055/s-0040-1713408.
- 23 Dashraath P, Wong JLJ, Lim MXK. et al. Coronavirus disease 2019 (COVID-19) pandemic and pregnancy. Am J Obst Gynecol 2020; 222: 521-531 DOI: 10.1016/j.ajog.2020.03.021.
- 24 Figueiro-Filho EA, Yudin M, Farine D. COVID-19 during pregnancy: an overview of maternal characteristics, clinical symptoms, maternal and neonatal outcomes of 10,996 cases described in 15 countries. J Perinat Med 2020; 48: 900-911 DOI: 10.1515/jpm-2020-0364.
- 25 Liu D, Li L, Wu X. et al. Pregnancy and perinatal outcomes of women with coronavirus disease (COVID-19) pneumonia: a preliminary analysis. AJR Am J Roentgenol 2020; 215: 127-132 DOI: 10.2214/AJR.20.23072.
- 26 Bengoechea JA, Bamford CG. SARS-CoV-2, bacterial co-infections, and AMR : the deadly trio in COVID-19?. EMBO Mol Med 2020; 12: 312560 DOI: 10.15252/emmm.202012560.
- 27 de Wit E, van Doremalen N, Falzarano D. et al. SARS and MERS: recent insights into emerging coronaviruses. Nat Rev Microbiol 2016; 14: 523-534 DOI: 10.1038/nrmicro.2016.81.
- 28 Oudit GY, Kassiri Z, Jiang C. et al. SARS-coronavirus modulation of myocardial ACE2 expression and inflammation in patients with SARS. Eur J Clin Invest 2009; 39: 618-625 DOI: 10.1111/j.1365-2362.2009.02153.x.
- 29 Han H, Xie L, Liu R. et al. Analysis of heart injury laboratory parameters in 273 COVID-19 patients in one hospital in Wuhan, China. J Med Virol 2020; 92: 819-823 DOI: 10.1002/jmv.25809.
- 30 Inciardi RM, Lupi L, Zaccone G. et al. Cardiac involvement in a patient with coronavirus disease 2019 (COVID-19). JAMA Cardiol 2020; 5: 819-824 DOI: 10.1001/jamacardio.2020.1096.
- 31 Rodriguez-Morales AJ, Cardona-Ospina JA, Gutiérrez-Ocampo E. et al. Clinical, laboratory and imaging features of COVID-19: a systematic review and meta-analysis. Travel Med Infect Dis 2020; 34: 101623 DOI: 10.1016/j.tmaid.2020.101623.
- 32 Rasmussen SA, Smulian JC, Lednicky JA. et al. Coronavirus Disease 2019 (COVID-19) and pregnancy: what obstetricians need to know. Am J Obstet Gynecol 2020; 222: 415-426 DOI: 10.1016/j.ajog.2020.02.017.
- 33 Cortegiani A, Ingoglia G, Ippolito M. et al. A systematic review on the efficacy and safety of chloroquine for the treatment of COVID-19. J Crit Care 2020; 57: 279-283 DOI: 10.1016/j.jcrc.2020.03.005.
- 34 Cunningham AC, Goh HP, Koh D. Treatment of COVID-19: old tricks for new challenges. Crit Care 2020; 24: 91 DOI: 10.1186/s13054-020-2818-6.
- 35 Mullins E, Evans D, Viner RM. et al. Coronavirus in pregnancy and delivery: rapid review. Ultrasound Obstet Gynecol 2020; 55: 586-592 DOI: 10.1002/uog.22014.
- 36 Zaigham M, Andersson O. Maternal and perinatal outcomes with COVID-19: a systematic review of 108 pregnancies. Acta Obstet Gynecol Scand 2020; 99: 823-829 DOI: 10.1111/aogs.13867.
- 37 Zöllkau J, Hagenbeck C, Hecher K. et al. Aktualisierte Empfehlungen zu SARS-CoV-2/COVID-19 und Schwangerschaft, Geburt und Wochenbett [Update on recommendations for SARS-CoV-2/COVID-19 during pregnancy, birth and childbed]. Z Geburtshilfe Neonatol 2020; 224: 217-222 DOI: 10.1055/a-1199-6404.