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Successful outcome of severe COVID-19 in pregnancy: individualised approach

A 32-year-old homemaker, 28 weeks pregnant, was admitted to a dedicated COVID-19 hospital with a history of dyspnoea for 1 day; oral and nasopharyngeal swabs were positive for SARS-CoV-2 on real-time PCR. She had type 1 respiratory failure and oxygen saturation of 88%, so was put on non-invasive ven...

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Autores principales: Dave, Anupama, Joshi, Priyansha, Jaiswal, Sunil, Kapdeo, Pradnya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8768493/
https://www.ncbi.nlm.nih.gov/pubmed/35039364
http://dx.doi.org/10.1136/bcr-2021-246648
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author Dave, Anupama
Joshi, Priyansha
Jaiswal, Sunil
Kapdeo, Pradnya
author_facet Dave, Anupama
Joshi, Priyansha
Jaiswal, Sunil
Kapdeo, Pradnya
author_sort Dave, Anupama
collection PubMed
description A 32-year-old homemaker, 28 weeks pregnant, was admitted to a dedicated COVID-19 hospital with a history of dyspnoea for 1 day; oral and nasopharyngeal swabs were positive for SARS-CoV-2 on real-time PCR. She had type 1 respiratory failure and oxygen saturation of 88%, so was put on non-invasive ventilation. Treatment as per guidelines was started. Given her deteriorating condition, a decision to deliver was taken and induction of labour was done. Her condition improved after delivery; but on day 5, she was suspected to have rhino-orbital mucormycosis and antifungals were started. Her condition improved gradually and she was discharged home. This case highlights the importance of individualised decision-making in cases with COVID-19 infection in pregnancy and that prompt treatment of the complications like mucormycosis would be lifesaving.
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spelling pubmed-87684932022-02-04 Successful outcome of severe COVID-19 in pregnancy: individualised approach Dave, Anupama Joshi, Priyansha Jaiswal, Sunil Kapdeo, Pradnya BMJ Case Rep Case Report A 32-year-old homemaker, 28 weeks pregnant, was admitted to a dedicated COVID-19 hospital with a history of dyspnoea for 1 day; oral and nasopharyngeal swabs were positive for SARS-CoV-2 on real-time PCR. She had type 1 respiratory failure and oxygen saturation of 88%, so was put on non-invasive ventilation. Treatment as per guidelines was started. Given her deteriorating condition, a decision to deliver was taken and induction of labour was done. Her condition improved after delivery; but on day 5, she was suspected to have rhino-orbital mucormycosis and antifungals were started. Her condition improved gradually and she was discharged home. This case highlights the importance of individualised decision-making in cases with COVID-19 infection in pregnancy and that prompt treatment of the complications like mucormycosis would be lifesaving. BMJ Publishing Group 2022-01-17 /pmc/articles/PMC8768493/ /pubmed/35039364 http://dx.doi.org/10.1136/bcr-2021-246648 Text en © BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ.
spellingShingle Case Report
Dave, Anupama
Joshi, Priyansha
Jaiswal, Sunil
Kapdeo, Pradnya
Successful outcome of severe COVID-19 in pregnancy: individualised approach
title Successful outcome of severe COVID-19 in pregnancy: individualised approach
title_full Successful outcome of severe COVID-19 in pregnancy: individualised approach
title_fullStr Successful outcome of severe COVID-19 in pregnancy: individualised approach
title_full_unstemmed Successful outcome of severe COVID-19 in pregnancy: individualised approach
title_short Successful outcome of severe COVID-19 in pregnancy: individualised approach
title_sort successful outcome of severe covid-19 in pregnancy: individualised approach
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8768493/
https://www.ncbi.nlm.nih.gov/pubmed/35039364
http://dx.doi.org/10.1136/bcr-2021-246648
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