Mortality of a pregnant patient diagnosed with COVID-19: A case report with clinical, radiological, and histopathological findings
Identifieur interne : 000466 ( 2020/Analysis ); précédent : 000465; suivant : 000467Mortality of a pregnant patient diagnosed with COVID-19: A case report with clinical, radiological, and histopathological findings
Auteurs : Parisa Karami [Iran] ; Maliheh Naghavi [Iran] ; Abdolamir Feyzi [Iran] ; Mehdi Aghamohammadi [Iran] ; Mohammad Sadegh Novin [Iran] ; Ahmadreza Mobaien [Iran] ; Mohamad Qorbanisani [Iran] ; Aida Karami [Iran] ; Amir Hossein Norooznezhad [Iran]Source :
- Travel Medicine and Infectious Disease [ 1477-8939 ] ; 2020.
Abstract
This report highlights details on a pregnant case of COVID-19 who unfortunately did not survive. This 27-year-old woman at her 30 and 3/7 weeks’ gestation was referred to our center with fever, myalgia, and cough. The laboratory investigations showed leukopenia and lymphopenia as well as increased creatinine and CRP levels. The first chest X-ray (faint bilateral patchy opacities) and CT scan (some faint subpleural ground-glass opacities associated with pleural thickening) were not typical for initial COVID-19 pulmonary infection, however, the treatment for COVID-19 was started. Due to respiratory distress, she was intubated and put under mechanical ventilation. After a while, the fetus was born with Apgar score of 0 and did not react to the neonatal cardiopulmonary resuscitation protocol. Finally, due to deterioration in the clinical and imaging findings, the patient was expired as a result of multi-organ failure. Following the death, autopsy was performed and the histopathologic evaluations of the lungs showed evidence of viral pneumonia (viral cytopathic effect and a mild increase in alveolar wall thickness) and ARDS (hyaline membrane). Also, reverse transcription-polymerase chain reaction (RT-PCR) confirmed SARS-CoV-2 infection in the lungs. To our knowledge, this is the first report of maternal death with confirmed COVID-19 infection.
Url:
DOI: 10.1016/j.tmaid.2020.101665
PubMed: 32283217
PubMed Central: 7151464
Affiliations:
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wicri:level="1"><nlm:aff id="aff2">Department of Pathology, Vali-e-asr Hospital, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Pathology, Vali-e-asr Hospital, School of Medicine, Zanjan University of Medical Sciences, Zanjan</wicri:regionArea><wicri:noRegion>Zanjan</wicri:noRegion></affiliation></author><author><name sortKey="Feyzi, Abdolamir" sort="Feyzi, Abdolamir" uniqKey="Feyzi A" first="Abdolamir" last="Feyzi">Abdolamir Feyzi</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Pathology, Vali-e-asr Hospital, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Pathology, Vali-e-asr Hospital, School of Medicine, Zanjan University of Medical Sciences, Zanjan</wicri:regionArea><wicri:noRegion>Zanjan</wicri:noRegion></affiliation></author><author><name sortKey="Aghamohammadi, Mehdi" sort="Aghamohammadi, Mehdi" uniqKey="Aghamohammadi M" first="Mehdi" last="Aghamohammadi">Mehdi Aghamohammadi</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Internal Medicine, Vali-e-asr Hospital, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Internal Medicine, Vali-e-asr Hospital, School of Medicine, Zanjan University of Medical Sciences, Zanjan</wicri:regionArea><wicri:noRegion>Zanjan</wicri:noRegion></affiliation></author><author><name sortKey="Novin, Mohammad Sadegh" sort="Novin, Mohammad Sadegh" uniqKey="Novin M" first="Mohammad Sadegh" last="Novin">Mohammad Sadegh Novin</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Internal Medicine, Vali-e-asr Hospital, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Internal Medicine, Vali-e-asr Hospital, School of Medicine, Zanjan University of Medical Sciences, Zanjan</wicri:regionArea><wicri:noRegion>Zanjan</wicri:noRegion></affiliation></author><author><name sortKey="Mobaien, Ahmadreza" sort="Mobaien, Ahmadreza" uniqKey="Mobaien A" first="Ahmadreza" last="Mobaien">Ahmadreza Mobaien</name><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Infectious Diseases, Vali-e-asr Hospital, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Infectious Diseases, Vali-e-asr Hospital, School of Medicine, Zanjan University of Medical Sciences, Zanjan</wicri:regionArea><wicri:noRegion>Zanjan</wicri:noRegion></affiliation></author><author><name sortKey="Qorbanisani, Mohamad" sort="Qorbanisani, Mohamad" uniqKey="Qorbanisani M" first="Mohamad" last="Qorbanisani">Mohamad Qorbanisani</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Radiology, Vali-e-asr Hospital, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Radiology, Vali-e-asr Hospital, School of Medicine, Zanjan University of Medical Sciences, Zanjan</wicri:regionArea><wicri:noRegion>Zanjan</wicri:noRegion></affiliation></author><author><name sortKey="Karami, Aida" sort="Karami, Aida" uniqKey="Karami A" first="Aida" last="Karami">Aida Karami</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Radiology, Vali-e-asr Hospital, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Radiology, Vali-e-asr Hospital, School of Medicine, Zanjan University of Medical Sciences, Zanjan</wicri:regionArea><wicri:noRegion>Zanjan</wicri:noRegion></affiliation></author><author><name sortKey="Norooznezhad, Amir Hossein" sort="Norooznezhad, Amir Hossein" uniqKey="Norooznezhad A" first="Amir Hossein" last="Norooznezhad">Amir Hossein Norooznezhad</name><affiliation wicri:level="1"><nlm:aff id="aff5">School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>School of Medicine, Kermanshah University of Medical Sciences, Kermanshah</wicri:regionArea><wicri:noRegion>Kermanshah</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff6">Medical Biology Research Center, Health Technology Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Medical Biology Research Center, Health Technology Institute, Kermanshah University of Medical Sciences, Kermanshah</wicri:regionArea><wicri:noRegion>Kermanshah</wicri:noRegion></affiliation></author></analytic><series><title level="j">Travel Medicine and Infectious Disease</title><idno type="ISSN">1477-8939</idno><idno type="eISSN">1873-0442</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>This report highlights details on a pregnant case of COVID-19 who unfortunately did not survive. This 27-year-old woman at her 30 and 3/7 weeks’ gestation was referred to our center with fever, myalgia, and cough. The laboratory investigations showed leukopenia and lymphopenia as well as increased creatinine and CRP levels. The first chest X-ray (faint bilateral patchy opacities) and CT scan (some faint subpleural ground-glass opacities associated with pleural thickening) were not typical for initial COVID-19 pulmonary infection, however, the treatment for COVID-19 was started. Due to respiratory distress, she was intubated and put under mechanical ventilation. After a while, the fetus was born with Apgar score of 0 and did not react to the neonatal cardiopulmonary resuscitation protocol. Finally, due to deterioration in the clinical and imaging findings, the patient was expired as a result of multi-organ failure. Following the death, autopsy was performed and the histopathologic evaluations of the lungs showed evidence of viral pneumonia (viral cytopathic effect and a mild increase in alveolar wall thickness) and ARDS (hyaline membrane). Also, reverse transcription-polymerase chain reaction (RT-PCR) confirmed SARS-CoV-2 infection in the lungs. To our knowledge, this is the first report of maternal death with confirmed COVID-19 infection.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Organization, W H" uniqKey="Organization W">W.H. Organization</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Guan, W J" uniqKey="Guan W">W-j Guan</name></author><author><name sortKey="Ni, Z Y" uniqKey="Ni Z">Z-y Ni</name></author><author><name sortKey="Hu, Y" uniqKey="Hu Y">Y. Hu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zhou, F" uniqKey="Zhou F">F. 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Guo</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Iran</li></country></list><tree><country name="Iran"><noRegion><name sortKey="Karami, Parisa" sort="Karami, Parisa" uniqKey="Karami P" first="Parisa" last="Karami">Parisa Karami</name></noRegion><name sortKey="Aghamohammadi, Mehdi" sort="Aghamohammadi, Mehdi" uniqKey="Aghamohammadi M" first="Mehdi" last="Aghamohammadi">Mehdi Aghamohammadi</name><name sortKey="Feyzi, Abdolamir" sort="Feyzi, Abdolamir" uniqKey="Feyzi A" first="Abdolamir" last="Feyzi">Abdolamir Feyzi</name><name sortKey="Karami, Aida" sort="Karami, Aida" uniqKey="Karami A" first="Aida" last="Karami">Aida Karami</name><name sortKey="Mobaien, Ahmadreza" sort="Mobaien, Ahmadreza" uniqKey="Mobaien A" first="Ahmadreza" last="Mobaien">Ahmadreza Mobaien</name><name sortKey="Naghavi, Maliheh" sort="Naghavi, Maliheh" uniqKey="Naghavi M" first="Maliheh" last="Naghavi">Maliheh Naghavi</name><name sortKey="Norooznezhad, Amir Hossein" sort="Norooznezhad, Amir Hossein" uniqKey="Norooznezhad A" first="Amir Hossein" last="Norooznezhad">Amir Hossein Norooznezhad</name><name sortKey="Norooznezhad, Amir Hossein" sort="Norooznezhad, Amir Hossein" uniqKey="Norooznezhad A" first="Amir Hossein" last="Norooznezhad">Amir Hossein Norooznezhad</name><name sortKey="Novin, Mohammad Sadegh" sort="Novin, Mohammad Sadegh" uniqKey="Novin M" first="Mohammad Sadegh" last="Novin">Mohammad Sadegh Novin</name><name sortKey="Qorbanisani, Mohamad" sort="Qorbanisani, Mohamad" uniqKey="Qorbanisani M" first="Mohamad" last="Qorbanisani">Mohamad Qorbanisani</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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