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Clinical improvement of severe COVID-19 pneumonia in a pregnant patient after caesarean delivery

Margeaux Oliva, Karen Hsu, Sarah Alsamarai, Vincent de Chavez, Lauren Ferrara

2020BMJ Case Reports20 citationsDOIOpen Access PDF

Abstract

The clinical implications of COVID-19 in pregnancy remain unknown. While preliminary reports demonstrate that pregnant patients have a similar symptomatic presentation to the general population, the appropriate management and timing of delivery in these patients is still unclear, as pregnancy may impose additional risk factors and impede recovery in gravid patients. In this brief report, we present a case of COVID-19 in a pregnant patient with severe respiratory compromise, whose clinical status significantly improved after caesarean delivery. We also address the potential benefits of experimental therapy, including tocilizumab, a monoclonal antibody that targets interleukin-6 receptors.

Topics & Concepts

MedicineTocilizumabPregnancyPneumoniaCoronavirus disease 2019 (COVID-19)Intensive care medicineCaesarean sectionPopulationObstetricsPresentation (obstetrics)PediatricsInternal medicineDiseaseBiologyInfectious disease (medical specialty)GeneticsEnvironmental healthCOVID-19 Impact on ReproductionPregnancy and Medication ImpactMaternal Mental Health During Pregnancy and Postpartum
Clinical improvement of severe COVID-19 pneumonia in a pregnant patient after caesarean delivery | Litcius