Clinical Manifestation and Laboratory Characteristics of SARS-CoV-2 Infection in Pregnant Women
Identifieur interne : 000839 ( 2020/Analysis ); précédent : 000838; suivant : 000840Clinical Manifestation and Laboratory Characteristics of SARS-CoV-2 Infection in Pregnant Women
Auteurs : Chunchen Wu [République populaire de Chine] ; Wenzhong Yang [République populaire de Chine] ; Xiaoxue Wu [République populaire de Chine] ; Tianzhu Zhang [République populaire de Chine] ; Yaoyao Zhao [République populaire de Chine] ; Wei Ren [République populaire de Chine] ; Jianbo Xia [République populaire de Chine]Source :
- Virologica Sinica [ 1674-0769 ] ; 2020.
Abstract
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) epidemic has become a major challenge to public health in China and other countries, considering its pathogenicity across all age groups. Pregnancy is a unique physiological condition, and is characterized by altered immunity and elevated hormone levels to actively tolerate the semi-allogeneic fetus, which undergoes a sudden and substantial fluctuation during the immediate postpartum period. Changes in clinical features, laboratory characteristics, and imaging features of pregnant women during the pre-partum and post-partum periods require further elucidation. Here, we retrospectively analyzed the clinical features, laboratory characteristics, and imaging features of eight pregnant cases of SARS-CoV-2 infection during the pre-partum and post-partum periods. Our results showed that four of the eight pregnant women were asymptomatic before delivery but became symptomatic post-partum. Correspondingly, white blood cell (WBC) counts increased and lymphocyte (LYMPH) counts decreased. C-reactive protein (CRP) levels in the serum also increased to a higher level than those in general pregnancy. Therefore, it is imperative to closely monitor laboratory parameters including the WBC count, LYMPH count, and CRP, along with other imaging features in chest CT scans, to promptly prevent, diagnose, and treat a SARS-CoV-2 infection during pregnancy.
The online version of this article (10.1007/s12250-020-00227-0) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1007/s12250-020-00227-0
PubMed: NONE
PubMed Central: 7167538
Affiliations:
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when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="Par1">The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) epidemic has become a major challenge to public health in China and other countries, considering its pathogenicity across all age groups. Pregnancy is a unique physiological condition, and is characterized by altered immunity and elevated hormone levels to actively tolerate the semi-allogeneic fetus, which undergoes a sudden and substantial fluctuation during the immediate postpartum period. Changes in clinical features, laboratory characteristics, and imaging features of pregnant women during the pre-partum and post-partum periods require further elucidation. Here, we retrospectively analyzed the clinical features, laboratory characteristics, and imaging features of eight pregnant cases of SARS-CoV-2 infection during the pre-partum and post-partum periods. Our results showed that four of the eight pregnant women were asymptomatic before delivery but became symptomatic post-partum. Correspondingly, white blood cell (WBC) counts increased and lymphocyte (LYMPH) counts decreased. C-reactive protein (CRP) levels in the serum also increased to a higher level than those in general pregnancy. Therefore, it is imperative to closely monitor laboratory parameters including the WBC count, LYMPH count, and CRP, along with other imaging features in chest CT scans, to promptly prevent, diagnose, and treat a SARS-CoV-2 infection during pregnancy.</p><sec><title>Electronic supplementary material</title><p>The online version of this article (10.1007/s12250-020-00227-0) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Chen, N" uniqKey="Chen N">N Chen</name></author><author><name sortKey="Zhou, M" uniqKey="Zhou M">M Zhou</name></author><author><name sortKey="Dong, X" uniqKey="Dong X">X Dong</name></author><author><name sortKey="Qu, J" uniqKey="Qu J">J Qu</name></author><author><name sortKey="Gong, F" uniqKey="Gong F">F Gong</name></author><author><name sortKey="Han, Y" uniqKey="Han Y">Y Han</name></author><author><name sortKey="Qiu, Y" uniqKey="Qiu Y">Y 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uniqKey="Kandeil W">W Kandeil</name></author><author><name sortKey="Prado Cohrs, D" uniqKey="Prado Cohrs D">D Prado-Cohrs</name></author><author><name sortKey="Vyse, A" uniqKey="Vyse A">A Vyse</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wang, D" uniqKey="Wang D">D Wang</name></author><author><name sortKey="Hu, B" uniqKey="Hu B">B Hu</name></author><author><name sortKey="Hu, C" uniqKey="Hu C">C Hu</name></author><author><name sortKey="Zhu, F" uniqKey="Zhu F">F Zhu</name></author><author><name sortKey="Liu, X" uniqKey="Liu X">X Liu</name></author><author><name sortKey="Zhang, J" uniqKey="Zhang J">J Zhang</name></author><author><name sortKey="Wang, B" uniqKey="Wang B">B Wang</name></author><author><name sortKey="Xiang, H" uniqKey="Xiang H">H Xiang</name></author><author><name sortKey="Cheng, Z" uniqKey="Cheng Z">Z Cheng</name></author><author><name sortKey="Xiong, Y" uniqKey="Xiong Y">Y Xiong</name></author><author><name sortKey="Zhao, Y" uniqKey="Zhao Y">Y Zhao</name></author><author><name sortKey="Li, Y" uniqKey="Li Y">Y Li</name></author><author><name sortKey="Wang, X" uniqKey="Wang X">X Wang</name></author><author><name sortKey="Peng, Z" uniqKey="Peng Z">Z Peng</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wong, Sf" uniqKey="Wong S">SF Wong</name></author><author><name sortKey="Chow, Km" uniqKey="Chow K">KM Chow</name></author><author><name sortKey="Leung, Tn" uniqKey="Leung T">TN Leung</name></author><author><name sortKey="Ng, Wf" uniqKey="Ng W">WF Ng</name></author><author><name sortKey="Ng, Tk" uniqKey="Ng T">TK Ng</name></author><author><name sortKey="Shek, Cc" uniqKey="Shek C">CC Shek</name></author><author><name sortKey="Ng, Pc" uniqKey="Ng P">PC Ng</name></author><author><name sortKey="Lam, Pw" uniqKey="Lam P">PW Lam</name></author><author><name sortKey="Ho, Lc" uniqKey="Ho L">LC Ho</name></author><author><name sortKey="To, Ww" uniqKey="To W">WW To</name></author><author><name sortKey="Lai, St" uniqKey="Lai S">ST Lai</name></author><author><name sortKey="Yan, Ww" uniqKey="Yan W">WW Yan</name></author><author><name sortKey="Tan, Py" uniqKey="Tan P">PY Tan</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Wu, Y" uniqKey="Wu Y">Y Wu</name></author><author><name sortKey="Potempa, La" uniqKey="Potempa L">LA Potempa</name></author><author><name sortKey="El Kebir, D" uniqKey="El Kebir D">D El Kebir</name></author><author><name sortKey="Filep, Jg" uniqKey="Filep J">JG Filep</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>République populaire de Chine</li></country></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Wu, Chunchen" sort="Wu, Chunchen" uniqKey="Wu C" first="Chunchen" last="Wu">Chunchen Wu</name></noRegion><name sortKey="Ren, Wei" sort="Ren, Wei" uniqKey="Ren W" first="Wei" last="Ren">Wei Ren</name><name sortKey="Wu, Xiaoxue" sort="Wu, Xiaoxue" uniqKey="Wu X" first="Xiaoxue" last="Wu">Xiaoxue Wu</name><name sortKey="Xia, Jianbo" sort="Xia, Jianbo" uniqKey="Xia J" first="Jianbo" last="Xia">Jianbo Xia</name><name sortKey="Yang, Wenzhong" sort="Yang, Wenzhong" uniqKey="Yang W" first="Wenzhong" last="Yang">Wenzhong Yang</name><name sortKey="Zhang, Tianzhu" sort="Zhang, Tianzhu" uniqKey="Zhang T" first="Tianzhu" last="Zhang">Tianzhu Zhang</name><name sortKey="Zhao, Yaoyao" sort="Zhao, Yaoyao" uniqKey="Zhao Y" first="Yaoyao" last="Zhao">Yaoyao Zhao</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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