A case of the rapid course of the novel coronavirus infection (COVID-19) in a pregnant woman
The novel coronavirus infection is a global pandemic with a continuing upward trend for global cases. The virus can infect any person; however, pregnant women may be more susceptible due to physiological changes in the body. This paper describes a clinical case of the rapid course of COVID-19 pneumonia in a pregnant patient without substantial risk factors for a severe, complicated form of the disease. Patient Zh. was infected with COVID-19 at 37-38 weeks’ gestation. The first clinical manifestations of the disease were sore throat accompanied by a rise in temperature up to 38° C. Taking into consideration that the patient felt worse, cough and fever appeared, she was admitted to a specialized hospital on day 5 after the onset of the disease. On day 7 of hospitalization, worsening respiratory symptoms and intoxication syndrome led to the development of acute cardiopulmonary failure that was the cause of death in the pregnant woman and her fetus. Despite the relatively small number of maternal deaths due to COVID-19, obstetricians/gynecologists and other health care workers need additional data on the characteristics of the course of the disease and possible adverse maternal and perinatal outcomes.Bezhenar V.F., Zazerskaya I.E., Kucheryavenko A.N., Meshchyaninova S.G., Mazurok V.A., Rzheutskaya R.E., Godzoeva A.О.
Conclusion. Physicians should be informed about mortality and its associated clinical characteristics in patients mainly because the median time from the onset of symptoms of the infectious process to the fatal outcome can be as little as two weeks.
Keywords
coronavirus infections (COVID-19)
pregnancy
pregnancy complications
fatal outcome
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Received 03.09.2020
Accepted 12.11.2020
About the Authors
Vitaliy F. Bezhenar, MD, PhD, professor, Head of Obstetrics and Gynecology Department, I.P. Pavlov First Saint-Petersburg Medical University, Ministry of Health of Russian Federation; Chief expert in obstetrics and gynecology of Saint-Petersburg Healthcare Committee and Ministry of Health in North-Western Federal Region of Russian Federation. E-mail: bez-vitaly@yandex.ru. 197022, Russia, Saint Petersburg, L. Tolstoy str., 6-8.Irina E. Zazerskaya, MD, PhD, Dr. Sci. (Medicine), the Head of Department of Obstetrics and Gynecology, V.A. Almazov National Medical Research Centre, Ministry of Health of the Russian Federation. Tel.: +7(921)948-83-40. Е-mail: zazera@mail.ru. 197341, Russia, Saint Petersburg, Akkuratova str., 2b.
Alexander N. Kucheryavenko, PhD, associate Professor, Deputy Chief Physician for obstetrics and gynecology, Botkin Clinical Infectious Diseases Hospital, Saint Petersburg.
195067, Russia, Saint Petersburg, Piskarevsky Prospekt, 49.
Svetlana G. Meshchaninova, MD, Head of the Department of anesthesiology and reanimatology, Botkin Clinical Infectious Diseases Hospital, Saint Petersburg.
195067, Russia, Saint Petersburg, Piskarevsky prospect, 49.
Vadim A. Mazurok, MD, PhD, Dr. Sci. (Medicine), Head of the Department of Anesthesiology and Reanimatology, V.A. Almazov National Medical Research Centre, Ministry of Health of the Russian Federation. Е-mail: vmazurok@mail.ru. 197341, Russia, Saint Petersburg, Akkuratova str., 2b.
Ryta E. Rzheutskaya, MD, PhD, associate Professor of the Department of Anesthesiology and Reanimatology, V.A. Almazov National Medical Research Centre, Ministry of Health of the Russian Federation. 197341, Russia, Saint Petersburg, Akkuratova str., 2b.
Alina O. Godzoeva, MD, Post-graduate student, Department of Obstetrics and Gynecology, V.A. Almazov National Medical Research Centre, Ministry of Health of the Russian Federation. Tel.: +7(988)870-86-76. Е-mail: godzoevaalina@mail.ru. 197341, Russia, Saint Petersburg, Akkuratova str., 2b.
For citation: Bezhenar V.F., Zazerskaya I.E., Kucheryavenko A.N., Meshchyaninova S.G., Mazurok V.A., Rzheutskaya R.E., Godzoeva A.О. A case of the rapid course of the novel coronavirus infection (COVID-19) in a pregnant woman.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2021; 1: 186-193 (in Russian)
https://dx.doi.org/10.18565/aig.2021.1.186-193
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