The case is presented of a 29-year-old primiparous woman who was COVID-19-positive at 34 weeks of gestation and who developed severe acute respiratory distress syndrome. After a four-day history of fever and mild dyspnea, she was referred to hospital. Ciclesonide, dexamethasone, heparin sodium, and sulbactam/ampicillin were initiated, followed by remdesivir and tocilizumab. On the fourth day after admission (at 34 weeks 5 days of gestation), respiratory failure required ventilator management. An emergency cesarean section was performed and a 2565-g male infant was delivered with an Apgar score of 8/8 and negative COVID-19 status. However, on the following day the patient’s respiratory condition deteriorated and mechanical ventilation was initiated. Subsequently, her respiratory condition quickly improved and mechanical ventilation was terminated 4 days after intubation. She was discharged 12 days after cesarean delivery. Our case provides additional evidence that raises concerns regarding the unfavorable maternal consequences of COVID-19 infection during pregnancy. Highlights • A COVID-19-positive woman at 34 weeks of gestation presented with respiratory failure. • An emergency cesarean section was performed at 34 weeks and 5 days of gestation. • The patient’s respiratory condition deteriorated the following day. • Mechanical ventilation was initiated and was terminated four days after intubation. • The case illustrates the unfavorable maternal consequences of COVID-19 infection during pregnancy.
【저자키워드】 COVID-19, Respiratory failure, Pneumonia, Pregnancy, 【초록키워드】 Dexamethasone, mechanical ventilation, Tocilizumab, sodium, hospital, Ventilation, Remdesivir, intubation, COVID-19 infection, management, Fever, Dyspnea, male, Patient, Mild, Admission, acute respiratory distress, Ciclesonide, Evidence, gestation, APGAR score, ventilator, syndrome, consequence, raise, primiparous, the patient, required, was performed, provide, initiated, discharged, Mechanical, 【제목키워드】 Case report,