Novel coronavirus-related acute respiratory distress syndrome in a patient with twin pregnancy: A case report.
Identifieur interne : 001652 ( Main/Corpus ); précédent : 001651; suivant : 001653Novel coronavirus-related acute respiratory distress syndrome in a patient with twin pregnancy: A case report.
Auteurs : Harsh Mehta ; Sasa Ivanovic ; Amanda Cronin ; Lindsey Vanbrunt ; Nirav Mistry ; Richard Miller ; Paul Yodice ; Fariborz RezaiSource :
- Case reports in women's health [ 2214-9112 ] ; 2020.
Abstract
We present the case of a 39-year-old woman, G1P0, who had conceived twins via in-vitro fertilization, who presented at 27 weeks of gestation with nasal congestion and dry cough for 7 days. On presentation, her physical examination was benign, except for sinus tachycardia, and she was oxygenating adequately on room air. Laboratory studies were unremarkable, except a PCR test positive for SARS-COV2, and a CT scan of her chest showed bilateral multi-focal ground-glass opacities. A fetal non-stress test was reassuring. She was treated with intravenous fluids, ceftriaxone, azithromycin, and hydroxychloroquine. During her hospital stay, she developed progressively worsening respiratory failure, initially requiring non-invasive ventilation, and subsequently progressed to acute respiratory distress syndrome requiring mechanical ventilation. She then suffered from sudden hypoxemia and hemodynamic collapse, on maximal ventilatory support, prompting an emergency cesarean section at bedside. This led to rapid stabilization of hemodynamic parameters, and of her overall respiratory status. Both the twins were born prematurely, and one of them tested positive for SARS-COV2.
DOI: 10.1016/j.crwh.2020.e00220
PubMed: 32426242
PubMed Central: PMC7229956
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USA.</nlm:affiliation></affiliation></author><author><name sortKey="Vanbrunt, Lindsey" sort="Vanbrunt, Lindsey" uniqKey="Vanbrunt L" first="Lindsey" last="Vanbrunt">Lindsey Vanbrunt</name><affiliation><nlm:affiliation>Saint Barnabas Medical Center, Department of Obstetrics and Gynecology, Livingston, NJ 07039, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Mistry, Nirav" sort="Mistry, Nirav" uniqKey="Mistry N" first="Nirav" last="Mistry">Nirav Mistry</name><affiliation><nlm:affiliation>Saint Barnabas Medical Center, Department of Medicine, Livingston, NJ 07039, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Saint Barnabas Medical Center, Division of Critical Care, Department of Medicine, Livingston, NJ 07039, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Miller, Richard" sort="Miller, Richard" uniqKey="Miller R" first="Richard" last="Miller">Richard Miller</name><affiliation><nlm:affiliation>Saint Barnabas Medical Center, Department of Obstetrics and Gynecology, Livingston, NJ 07039, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Yodice, Paul" sort="Yodice, Paul" uniqKey="Yodice P" first="Paul" last="Yodice">Paul Yodice</name><affiliation><nlm:affiliation>Saint Barnabas Medical Center, Department of Medicine, Livingston, NJ 07039, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Saint Barnabas Medical Center, Division of Critical Care, Department of Medicine, Livingston, NJ 07039, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Rezai, Fariborz" sort="Rezai, Fariborz" uniqKey="Rezai F" first="Fariborz" last="Rezai">Fariborz Rezai</name><affiliation><nlm:affiliation>Saint Barnabas Medical Center, Department of Medicine, Livingston, NJ 07039, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Saint Barnabas Medical Center, Division of Critical Care, Department of Medicine, Livingston, NJ 07039, USA.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32426242</idno><idno type="pmid">32426242</idno><idno type="doi">10.1016/j.crwh.2020.e00220</idno><idno type="pmc">PMC7229956</idno><idno type="wicri:Area/Main/Corpus">001652</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001652</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Novel coronavirus-related acute respiratory distress syndrome in a patient with twin pregnancy: A case report.</title><author><name sortKey="Mehta, Harsh" sort="Mehta, Harsh" uniqKey="Mehta H" first="Harsh" last="Mehta">Harsh Mehta</name><affiliation><nlm:affiliation>Saint Barnabas Medical Center, Department of Medicine, Livingston, NJ 07039, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Ivanovic, Sasa" sort="Ivanovic, Sasa" uniqKey="Ivanovic S" first="Sasa" last="Ivanovic">Sasa Ivanovic</name><affiliation><nlm:affiliation>Saint Barnabas Medical Center, Department of Medicine, Livingston, NJ 07039, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Cronin, Amanda" sort="Cronin, Amanda" uniqKey="Cronin A" first="Amanda" last="Cronin">Amanda Cronin</name><affiliation><nlm:affiliation>Saint Barnabas Medical Center, Department of Obstetrics and Gynecology, Livingston, NJ 07039, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Vanbrunt, Lindsey" sort="Vanbrunt, Lindsey" uniqKey="Vanbrunt L" first="Lindsey" last="Vanbrunt">Lindsey Vanbrunt</name><affiliation><nlm:affiliation>Saint Barnabas Medical Center, Department of Obstetrics and Gynecology, Livingston, NJ 07039, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Mistry, Nirav" sort="Mistry, Nirav" uniqKey="Mistry N" first="Nirav" last="Mistry">Nirav Mistry</name><affiliation><nlm:affiliation>Saint Barnabas Medical Center, Department of Medicine, Livingston, NJ 07039, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Saint Barnabas Medical Center, Division of Critical Care, Department of Medicine, Livingston, NJ 07039, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Miller, Richard" sort="Miller, Richard" uniqKey="Miller R" first="Richard" last="Miller">Richard Miller</name><affiliation><nlm:affiliation>Saint Barnabas Medical Center, Department of Obstetrics and Gynecology, Livingston, NJ 07039, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Yodice, Paul" sort="Yodice, Paul" uniqKey="Yodice P" first="Paul" last="Yodice">Paul Yodice</name><affiliation><nlm:affiliation>Saint Barnabas Medical Center, Department of Medicine, Livingston, NJ 07039, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Saint Barnabas Medical Center, Division of Critical Care, Department of Medicine, Livingston, NJ 07039, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Rezai, Fariborz" sort="Rezai, Fariborz" uniqKey="Rezai F" first="Fariborz" last="Rezai">Fariborz Rezai</name><affiliation><nlm:affiliation>Saint Barnabas Medical Center, Department of Medicine, Livingston, NJ 07039, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Saint Barnabas Medical Center, Division of Critical Care, Department of Medicine, Livingston, NJ 07039, USA.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Case reports in women's health</title><idno type="eISSN">2214-9112</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We present the case of a 39-year-old woman, G1P0, who had conceived twins via in-vitro fertilization, who presented at 27 weeks of gestation with nasal congestion and dry cough for 7 days. On presentation, her physical examination was benign, except for sinus tachycardia, and she was oxygenating adequately on room air. Laboratory studies were unremarkable, except a PCR test positive for SARS-COV2, and a CT scan of her chest showed bilateral multi-focal ground-glass opacities. A fetal non-stress test was reassuring. She was treated with intravenous fluids, ceftriaxone, azithromycin, and hydroxychloroquine. During her hospital stay, she developed progressively worsening respiratory failure, initially requiring non-invasive ventilation, and subsequently progressed to acute respiratory distress syndrome requiring mechanical ventilation. She then suffered from sudden hypoxemia and hemodynamic collapse, on maximal ventilatory support, prompting an emergency cesarean section at bedside. This led to rapid stabilization of hemodynamic parameters, and of her overall respiratory status. Both the twins were born prematurely, and one of them tested positive for SARS-COV2.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">32426242</PMID><DateRevised><Year>2021</Year><Month>01</Month><Day>10</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Electronic">2214-9112</ISSN><JournalIssue CitedMedium="Internet"><Volume>27</Volume><PubDate><Year>2020</Year><Month>Jul</Month></PubDate></JournalIssue><Title>Case reports in women's health</Title><ISOAbbreviation>Case Rep Womens Health</ISOAbbreviation></Journal><ArticleTitle>Novel coronavirus-related acute respiratory distress syndrome in a patient with twin pregnancy: A case report.</ArticleTitle><Pagination><MedlinePgn>e00220</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.crwh.2020.e00220</ELocationID><Abstract><AbstractText>We present the case of a 39-year-old woman, G1P0, who had conceived twins via in-vitro fertilization, who presented at 27 weeks of gestation with nasal congestion and dry cough for 7 days. On presentation, her physical examination was benign, except for sinus tachycardia, and she was oxygenating adequately on room air. Laboratory studies were unremarkable, except a PCR test positive for SARS-COV2, and a CT scan of her chest showed bilateral multi-focal ground-glass opacities. A fetal non-stress test was reassuring. She was treated with intravenous fluids, ceftriaxone, azithromycin, and hydroxychloroquine. During her hospital stay, she developed progressively worsening respiratory failure, initially requiring non-invasive ventilation, and subsequently progressed to acute respiratory distress syndrome requiring mechanical ventilation. She then suffered from sudden hypoxemia and hemodynamic collapse, on maximal ventilatory support, prompting an emergency cesarean section at bedside. This led to rapid stabilization of hemodynamic parameters, and of her overall respiratory status. Both the twins were born prematurely, and one of them tested positive for SARS-COV2.</AbstractText><CopyrightInformation>© 2020 Published by Elsevier B.V.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mehta</LastName><ForeName>Harsh</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Saint Barnabas Medical Center, Department of Medicine, Livingston, NJ 07039, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ivanovic</LastName><ForeName>Sasa</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Saint Barnabas Medical Center, Department of Medicine, Livingston, NJ 07039, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cronin</LastName><ForeName>Amanda</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Saint Barnabas Medical Center, Department of Obstetrics and Gynecology, Livingston, NJ 07039, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>VanBrunt</LastName><ForeName>Lindsey</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Saint Barnabas Medical Center, Department of Obstetrics and Gynecology, Livingston, NJ 07039, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mistry</LastName><ForeName>Nirav</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Saint Barnabas Medical Center, Department of Medicine, Livingston, NJ 07039, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Saint Barnabas Medical Center, Division of Critical Care, Department of Medicine, Livingston, NJ 07039, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Miller</LastName><ForeName>Richard</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Saint Barnabas Medical Center, Department of Obstetrics and Gynecology, Livingston, NJ 07039, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yodice</LastName><ForeName>Paul</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Saint Barnabas Medical Center, Department of Medicine, Livingston, NJ 07039, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Saint Barnabas Medical Center, Division of Critical Care, Department of Medicine, Livingston, NJ 07039, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rezai</LastName><ForeName>Fariborz</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Saint Barnabas Medical Center, Department of Medicine, Livingston, NJ 07039, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Saint Barnabas Medical Center, Division of Critical Care, Department of Medicine, Livingston, NJ 07039, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType></PublicationTypeList><ArticleDate 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