tetano
Editor, Senior Moderator
Am J Emerg Med
. 2020 Jun 25;S0735-6757(20)30539-8.
doi: 10.1016/j.ajem.2020.06.052. Online ahead of print.
COVID-19 and preeclampsia with severe features at 34-weeks gestation
John N Hansen[SUP] 1 [/SUP], Jason Hine[SUP] 2 [/SUP], Tania D Strout[SUP] 3 [/SUP]
Affiliations
Abstract
The evolving coronavirus disease 2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has led to a rapid expansion of knowledge on the disease's clinical manifestations, laboratory and radiographic abnormalities, and patient trajectories. One area of particular focus is the effect that this illness may have on pregnancy and maternal-fetal disease. As of April 24, 2020, we identified 55 English language reports in the scientific literature summarizing data for 339 women and 258 fetuses and neonates. The majority of these data have focused on maternal-fetal transmission and neonatal outcomes. One systematic review and meta-analysis including the spectrum of coronaviruses [Severe Acute Respiratory Syndrome (SARS), Middle East Respiratory Syndrome (MERS), and COVID-19] in pregnancy noted increased rates of adverse outcomes associated with this group of infections. Here, we report the case of a COVID-19 positive woman presenting to our emergency department (ED) at 34 weeks gestation with preeclampsia. This case highlights the unique diagnostic and therapeutic challenges associated with treating patients with these concomitant diseases.
Keywords: COVID-19; Emergency department; Emergency medicine; Preeclampsia; SARS-CoV-2.
. 2020 Jun 25;S0735-6757(20)30539-8.
doi: 10.1016/j.ajem.2020.06.052. Online ahead of print.
COVID-19 and preeclampsia with severe features at 34-weeks gestation
John N Hansen[SUP] 1 [/SUP], Jason Hine[SUP] 2 [/SUP], Tania D Strout[SUP] 3 [/SUP]
Affiliations
- PMID: 33008706
- DOI: 10.1016/j.ajem.2020.06.052
Abstract
The evolving coronavirus disease 2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has led to a rapid expansion of knowledge on the disease's clinical manifestations, laboratory and radiographic abnormalities, and patient trajectories. One area of particular focus is the effect that this illness may have on pregnancy and maternal-fetal disease. As of April 24, 2020, we identified 55 English language reports in the scientific literature summarizing data for 339 women and 258 fetuses and neonates. The majority of these data have focused on maternal-fetal transmission and neonatal outcomes. One systematic review and meta-analysis including the spectrum of coronaviruses [Severe Acute Respiratory Syndrome (SARS), Middle East Respiratory Syndrome (MERS), and COVID-19] in pregnancy noted increased rates of adverse outcomes associated with this group of infections. Here, we report the case of a COVID-19 positive woman presenting to our emergency department (ED) at 34 weeks gestation with preeclampsia. This case highlights the unique diagnostic and therapeutic challenges associated with treating patients with these concomitant diseases.
Keywords: COVID-19; Emergency department; Emergency medicine; Preeclampsia; SARS-CoV-2.