Background It has been proposed that pregnant women and their fetuses may be particularly at risk for poor outcomes due to the coronavirus (COVID-19) pandemic. From the few case series that are available in the literature, women with high risk pregnancies have been associated with higher morbidity. It has been suggested that pregnancy induced immune responses and cardio-vascular changes can exaggerate the course of the COVID-19 infection. Case presentation A 26-year old Somalian woman (G2P1) presented with a nine-day history of shortness of breath, dry cough, myalgia, nausea, abdominal pain and fever. A nasopharyngeal swab returned positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Her condition rapidly worsened leading to severe liver and coagulation impairment. An emergency Caesarean section was performed at gestational week 32 + 6 after which the patient made a rapid recovery. Severe COVID-19 promptly improved by the termination of the pregnancy or atypical HELLP (Hemolysis, Elevated Liver Enzymes and Low Platelet Count) exacerbated by concomitant COVID-19 infection could not be ruled out. There was no evidence of vertical transmission. Conclusions This case adds to the growing body of evidence which raises concerns about the possible negative maternal outcomes of COVID-19 infection during pregnancy and advocates for pregnant women to be recognized as a vulnerable group during the current pandemic.
【저자키워드】 COVID-19, SARS-CoV-2, Respiratory distress syndrome, coronavirus, pandemic, Respiratory failure, Mortality, susceptibility, Sepsis, virus, Coagulation, Pregnancy, Neonate, Fever, morbidity, liver, differential diagnosis, HELLP syndrome, Obstetric management, 【초록키워드】 immune response, Infection, risk, Transmission, outcome, abdominal pain, pregnant women, Nasopharyngeal swab, COVID-19 infection, Caesarean section, women, change, Platelet count, Evidence, Atypical, myalgia, high risk, Shortness of breath, acute respiratory syndrome, dry cough, nausea, positive, raise, Course, the patient, exacerbated, was performed, case sery, suggested, returned, exaggerate, coagulation impairment, worsened, 【제목키워드】 Case report, coagulation dysfunction,