Mortality of a pregnant patient diagnosed with COVID-19: A case report with clinical, radiological, and histopathological findings
Identifieur interne : 003932 ( Ncbi/Checkpoint ); précédent : 003931; suivant : 003933Mortality 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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<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>
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