DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20205801

Severe acute respiratory distress syndrome in COVID-19 infected pregnancy: a case report

Nagashree Undinti, Charumathi R., Rama Narasimhan, Neetu Mariam Alex

Abstract


Corona virus 2019 is an emerging disease with a rapid increase in cases and deaths. Limited data is available about its progress and consequences in pregnancy. We present clinical challenges and potential strategies for optimal materno fetal surveillance by a case report on how we successfully managed a COVID -19 infected elderly primigravida with twin gestation and severe acute respiratory distress syndrome.


Keywords


COVID-19, Maternal fetal surveillance, Chest CT, Mechanical ventilation

Full Text:

PDF

References


Su S, Wong G, Shi W, Liu J, Lai AC, Zhou J, et al. Epidemiology, genetic recombination, and pathogenesis of coronaviruses. Tren Microbiol. 2016;24(6):490-502.

Hui DS, Zumla A. Severe acute respiratory syndrome: historical, epidemiologic, and clinical features. Infect Disea Clin. 2019;33(4):869-89.

Schnettler WT, Al Ahwel Y, Suhag A. Severe acute respiratory distress syndrome in coronavirus disease 2019-infected pregnancy: obstetric and intensive care considerations. Am J Obstet Gynecol MFM. 2020:100120.

Liu J, Liu Y, Xiang P, Pu L, Xiong H, Li C, et al. Neutrophil-to-lymphocyte ratio predicts severe illness patients with 2019 novel coronavirus in the early stage. Med Rxiv Epub ahead of print. 2020;12.

Liu J, Li S, Liu J, Liang B, Wang X, Wang H, et al. Longitudinal characteristics of lymphocyte responses and cytokine profiles in the peripheral blood of SARS-CoV-2 infected patients. E Bio Medicine. 2020:102763.

Zhou S, Wang Y, Zhu T, Xia L. CT features of coronavirus disease 2019 (COVID-19) pneumonia in 62 patients in Wuhan, China. Am J Roentgenol. 2020;214(6):1287-94.

Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020;395(10223):507-13.

Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China. J Am Medic Assoc. 2020;323(11):1061-9.

Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, Liu L, Shan H, Lei CL, Hui DS, Du B. Clinical characteristics of 2019 novel coronavirus infection in China. MedRxiv. 2020.

Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-506.

Tang N, Li D, Wang X, Sun Z. Abnormal coagulation parameters are associated with poor prognosis in patients with novel coronavirus pneumonia. J Thrombos Haemost. 2020;18(4):844-7.

Lapinsky SE. Management of acute respiratory failure in pregnancy. Sem Respirat Critic Care Medic. 2017;38(2):201-7.

Zhu H, Wang L, Fang C, Peng S, Zhang L, Chang G, et al. Clinical analysis of 10 neonates born to mothers with 2019-nCoV pneumonia. Translat Pediat. 2020;9(1):51.

Chen H, Guo J, Wang C, Luo F, Yu X, Zhang W, 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(10226):809-15.

Wei M, Yuan J, Liu Y, Fu T, Yu X, Zhang ZJ. Novel coronavirus infection in hospitalized infants under 1 year of age in China. J Am Medic Assoc. 2020;323(13):1313-4.

Chen H, Guo J, Wang C, Luo F, Yu X, Zhang W, 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(10226):809-15.

Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al. Clinical characteristics of coronavirus disease 2019 in China. N Eng J Medic. 2020;382(18):1708-20.

Wang M, Cao R, Zhang L, Yang X, Liu J, Xu M, et al. Remdesivir and chloroquine effectively inhibit the recently emerged novel coronavirus (2019-nCoV) in vitro. Cell Res. 2020;30(3):269-71.

Li H, Wang YM, Xu JY, Cao B. Potential antiviral therapeutics for 2019 Novel Coronavirus. Chin J Tubercul Res Diseas. 2020;43:E002.

Arabi YM, Fowler R, Hayden FG. Critical care management of adults with community-acquired severe respiratory viral infection. Intens Care Medic. 2020;46(2):315-28.

Dennis AT, Hardy L, Leeton L. The prone position in healthy pregnant women and in women with preeclampsia–a pilot study. Bio Med Cent Pregnan Childbir. 2018;18(1):445.

Akatsuka M, Tatsumi H, Yama N, Masuda Y. Therapeutic evaluation of computed tomography findings for efficacy of prone ventilation in acute respiratory distress syndrome patients with abdominal surgery. J Critic Care Med. 2020;6(1):32-40.