Successful continuation of pregnancy in a patient with COVID-19-related ARDS.
Identifieur interne : 000557 ( Main/Exploration ); précédent : 000556; suivant : 000558Successful continuation of pregnancy in a patient with COVID-19-related ARDS.
Auteurs : Laura Federici [Oman] ; Olivier Picone [France] ; Didier Dreyfuss [France] ; Jeanne Sibiude [France]Source :
- BMJ case reports [ 1757-790X ] ; 2020.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Betacoronavirus (isolement et purification), Complications infectieuses de la grossesse (imagerie diagnostique), Complications infectieuses de la grossesse (thérapie), Complications infectieuses de la grossesse (étiologie), Femelle (MeSH), Grossesse (MeSH), Humains (MeSH), Infections à coronavirus (complications), Infections à coronavirus (diagnostic), Naissance vivante (MeSH), Pandémies (MeSH), Pneumopathie virale (complications), Pneumopathie virale (diagnostic), Radiographie thoracique (MeSH), Syndrome de détresse respiratoire de l'adulte (imagerie diagnostique), Syndrome de détresse respiratoire de l'adulte (thérapie), Syndrome de détresse respiratoire de l'adulte (étiologie), Ventilation artificielle (MeSH).
- MESH :
- diagnostic : Infections à coronavirus, Pneumopathie virale.
- imagerie diagnostique : Complications infectieuses de la grossesse, Syndrome de détresse respiratoire de l'adulte.
- isolement et purification : Betacoronavirus.
- thérapie : Complications infectieuses de la grossesse, Syndrome de détresse respiratoire de l'adulte.
- étiologie : Complications infectieuses de la grossesse, Syndrome de détresse respiratoire de l'adulte.
- complications : Adulte, Femelle, Grossesse, Humains, Infections à coronavirus, Naissance vivante, Pandémies, Pneumopathie virale, Radiographie thoracique, Ventilation artificielle.
English descriptors
- KwdEn :
- Adult (MeSH), Betacoronavirus (isolation & purification), Coronavirus Infections (complications), Coronavirus Infections (diagnosis), Female (MeSH), Humans (MeSH), Live Birth (MeSH), Pandemics (MeSH), Pneumonia, Viral (complications), Pneumonia, Viral (diagnosis), Pregnancy (MeSH), Pregnancy Complications, Infectious (diagnostic imaging), Pregnancy Complications, Infectious (etiology), Pregnancy Complications, Infectious (therapy), Radiography, Thoracic (MeSH), Respiration, Artificial (MeSH), Respiratory Distress Syndrome, Adult (diagnostic imaging), Respiratory Distress Syndrome, Adult (etiology), Respiratory Distress Syndrome, Adult (therapy).
- MESH :
- complications : Coronavirus Infections, Pneumonia, Viral.
- diagnosis : Coronavirus Infections, Pneumonia, Viral.
- diagnostic imaging : Pregnancy Complications, Infectious, Respiratory Distress Syndrome, Adult.
- etiology : Pregnancy Complications, Infectious, Respiratory Distress Syndrome, Adult.
- isolation & purification : Betacoronavirus.
- therapy : Pregnancy Complications, Infectious, Respiratory Distress Syndrome, Adult.
- Adult, Female, Humans, Live Birth, Pandemics, Pregnancy, Radiography, Thoracic, Respiration, Artificial.
Abstract
A 33-year-old pregnant woman was hospitalised with fever, cough, myalgia and dyspnoea at 23.5 weeks of gestation (WG). Development of acute respiratory distress syndrome (ARDS) mandated invasive mechanical ventilation. A nasopharyngeal swab proved positive for severe acute respiratory syndrome coronavirus 2 by reverse transcription-PCR. The patient developed hypertension and biological disorders suggesting pre-eclampsia and HELLP (haemolysis, elevated liver enzyme levels and low platelet levels) syndrome. Pre-eclampsia was subsequently ruled out by a low ratio of serum soluble fms-like tyrosine kinase-1 to placental growth factor. Given the severity of ARDS, delivery by caesarean section was contemplated. Because the ratio was normal and the patient's respiratory condition stabilised, delivery was postponed. She recovered after 10 days of mechanical ventilation. She spontaneously delivered a healthy boy at 33.4 WG. Clinical and laboratory manifestations of COVID-19 infection can mimic HELLP syndrome. Fetal extraction should not be systematic in the absence of fetal distress or intractable maternal disease. Successful evolution was the result of a multidisciplinary teamwork.
DOI: 10.1136/bcr-2020-237511
PubMed: 32788159
PubMed Central: PMC7422636
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Betacoronavirus (isolation & purification)</term><term>Coronavirus Infections (complications)</term><term>Coronavirus Infections (diagnosis)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Live Birth (MeSH)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (complications)</term><term>Pneumonia, Viral (diagnosis)</term><term>Pregnancy (MeSH)</term><term>Pregnancy Complications, Infectious (diagnostic imaging)</term><term>Pregnancy Complications, Infectious (etiology)</term><term>Pregnancy Complications, Infectious (therapy)</term><term>Radiography, Thoracic (MeSH)</term><term>Respiration, Artificial (MeSH)</term><term>Respiratory Distress Syndrome, Adult (diagnostic imaging)</term><term>Respiratory Distress Syndrome, Adult (etiology)</term><term>Respiratory Distress Syndrome, Adult (therapy)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Betacoronavirus (isolement et purification)</term><term>Complications infectieuses de la grossesse (imagerie diagnostique)</term><term>Complications infectieuses de la grossesse (thérapie)</term><term>Complications infectieuses de la grossesse (étiologie)</term><term>Femelle (MeSH)</term><term>Grossesse (MeSH)</term><term>Humains (MeSH)</term><term>Infections à coronavirus (complications)</term><term>Infections à coronavirus (diagnostic)</term><term>Naissance vivante (MeSH)</term><term>Pandémies (MeSH)</term><term>Pneumopathie virale (complications)</term><term>Pneumopathie virale (diagnostic)</term><term>Radiographie thoracique (MeSH)</term><term>Syndrome de détresse respiratoire de l'adulte (imagerie diagnostique)</term><term>Syndrome de détresse respiratoire de l'adulte (thérapie)</term><term>Syndrome de détresse respiratoire de l'adulte (étiologie)</term><term>Ventilation artificielle (MeSH)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Infections à coronavirus</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Pregnancy Complications, Infectious</term><term>Respiratory Distress Syndrome, Adult</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Pregnancy Complications, Infectious</term><term>Respiratory Distress Syndrome, Adult</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Complications infectieuses de la grossesse</term><term>Syndrome de détresse respiratoire de l'adulte</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Betacoronavirus</term></keywords><keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Betacoronavirus</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Pregnancy Complications, Infectious</term><term>Respiratory Distress Syndrome, Adult</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Complications infectieuses de la grossesse</term><term>Syndrome de détresse respiratoire de l'adulte</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Complications infectieuses de la grossesse</term><term>Syndrome de détresse respiratoire de l'adulte</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Live Birth</term><term>Pandemics</term><term>Pregnancy</term><term>Radiography, Thoracic</term><term>Respiration, Artificial</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Adulte</term><term>Femelle</term><term>Grossesse</term><term>Humains</term><term>Infections à coronavirus</term><term>Naissance vivante</term><term>Pandémies</term><term>Pneumopathie virale</term><term>Radiographie thoracique</term><term>Ventilation artificielle</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A 33-year-old pregnant woman was hospitalised with fever, cough, myalgia and dyspnoea at 23.5 weeks of gestation (WG). Development of acute respiratory distress syndrome (ARDS) mandated invasive mechanical ventilation. A nasopharyngeal swab proved positive for severe acute respiratory syndrome coronavirus 2 by reverse transcription-PCR. The patient developed hypertension and biological disorders suggesting pre-eclampsia and HELLP (haemolysis, elevated liver enzyme levels and low platelet levels) syndrome. Pre-eclampsia was subsequently ruled out by a low ratio of serum soluble fms-like tyrosine kinase-1 to placental growth factor. Given the severity of ARDS, delivery by caesarean section was contemplated. Because the ratio was normal and the patient's respiratory condition stabilised, delivery was postponed. She recovered after 10 days of mechanical ventilation. She spontaneously delivered a healthy boy at 33.4 WG. Clinical and laboratory manifestations of COVID-19 infection can mimic HELLP syndrome. Fetal extraction should not be systematic in the absence of fetal distress or intractable maternal disease. Successful evolution was the result of a multidisciplinary teamwork.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32788159</PMID><DateCompleted><Year>2020</Year><Month>08</Month><Day>24</Day></DateCompleted><DateRevised><Year>2020</Year><Month>08</Month><Day>24</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1757-790X</ISSN><JournalIssue CitedMedium="Internet"><Volume>13</Volume><Issue>8</Issue><PubDate><Year>2020</Year><Month>Aug</Month><Day>11</Day></PubDate></JournalIssue><Title>BMJ case reports</Title><ISOAbbreviation>BMJ Case Rep</ISOAbbreviation></Journal><ArticleTitle>Successful continuation of pregnancy in a patient with COVID-19-related ARDS.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">e237511</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1136/bcr-2020-237511</ELocationID><Abstract><AbstractText>A 33-year-old pregnant woman was hospitalised with fever, cough, myalgia and dyspnoea at 23.5 weeks of gestation (WG). Development of acute respiratory distress syndrome (ARDS) mandated invasive mechanical ventilation. A nasopharyngeal swab proved positive for severe acute respiratory syndrome coronavirus 2 by reverse transcription-PCR. The patient developed hypertension and biological disorders suggesting pre-eclampsia and HELLP (haemolysis, elevated liver enzyme levels and low platelet levels) syndrome. Pre-eclampsia was subsequently ruled out by a low ratio of serum soluble fms-like tyrosine kinase-1 to placental growth factor. Given the severity of ARDS, delivery by caesarean section was contemplated. Because the ratio was normal and the patient's respiratory condition stabilised, delivery was postponed. She recovered after 10 days of mechanical ventilation. She spontaneously delivered a healthy boy at 33.4 WG. Clinical and laboratory manifestations of COVID-19 infection can mimic HELLP syndrome. Fetal extraction should not be systematic in the absence of fetal distress or intractable maternal disease. Successful evolution was the result of a multidisciplinary teamwork.</AbstractText><CopyrightInformation>© BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Federici</LastName><ForeName>Laura</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Service de médecine intensive reanimation, Hôpital Louis-Mourier, Colombes, France laura.federici85@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Picone</LastName><ForeName>Olivier</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>Service de gynécologie-obstétrique, Hôpital Louis-Mourier, Colombes, Île-de-France, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>IAME-U11337, INSERM, Paris, Île-de-France, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y" EqualContrib="Y"><LastName>Dreyfuss</LastName><ForeName>Didier</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Service de médecine intensive reanimation, Hôpital Louis-Mourier, Colombes, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Unit UMR S-1155 Common and Rare Kidney Disease, INSERM, Paris, Île-de-France, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y" EqualContrib="Y"><LastName>Sibiude</LastName><ForeName>Jeanne</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Service de gynécologie-obstétrique, Hôpital Louis-Mourier, Colombes, Île-de-France, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>08</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMJ Case Rep</MedlineTA><NlmUniqueID>101526291</NlmUniqueID><ISSNLinking>1757-790X</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName><SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName><QualifierName UI="Q000302" MajorTopicYN="Y">isolation & purification</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D050498" MajorTopicYN="Y">Live Birth</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011247" MajorTopicYN="N">Pregnancy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011251" MajorTopicYN="N">Pregnancy Complications, Infectious</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013902" MajorTopicYN="N">Radiography, Thoracic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012121" MajorTopicYN="N">Respiration, Artificial</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012128" MajorTopicYN="N">Respiratory Distress Syndrome, Adult</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">adult intensive care</Keyword><Keyword MajorTopicYN="N">mechanical ventilation</Keyword><Keyword MajorTopicYN="N">obstetrics and gynaecology</Keyword><Keyword MajorTopicYN="N">pneumonia (infectious disease)</Keyword></KeywordList><CoiStatement>Competing interests: None declared.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>8</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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18;382(25):e100</Citation><ArticleIdList><ArticleId IdType="pubmed">32302077</ArticleId></ArticleIdList></Reference><Reference><Citation>J Gynecol Obstet Hum Reprod. 2020 Jun 4;:101826</Citation><ArticleIdList><ArticleId IdType="pubmed">32505805</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>France</li><li>Oman</li></country></list><tree><country name="Oman"><noRegion><name sortKey="Federici, Laura" sort="Federici, Laura" uniqKey="Federici L" first="Laura" last="Federici">Laura Federici</name></noRegion></country><country name="France"><noRegion><name sortKey="Picone, Olivier" sort="Picone, Olivier" uniqKey="Picone O" first="Olivier" last="Picone">Olivier Picone</name></noRegion><name sortKey="Dreyfuss, Didier" sort="Dreyfuss, Didier" uniqKey="Dreyfuss D" first="Didier" last="Dreyfuss">Didier Dreyfuss</name><name sortKey="Dreyfuss, Didier" sort="Dreyfuss, Didier" uniqKey="Dreyfuss D" first="Didier" last="Dreyfuss">Didier Dreyfuss</name><name sortKey="Picone, Olivier" sort="Picone, Olivier" uniqKey="Picone O" first="Olivier" last="Picone">Olivier Picone</name><name sortKey="Sibiude, Jeanne" sort="Sibiude, Jeanne" uniqKey="Sibiude J" first="Jeanne" last="Sibiude">Jeanne Sibiude</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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