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Rev. méd. Paraná ; 79(1): 63-65, 2021.
Article in Portuguese | LILACS | ID: biblio-1282438

ABSTRACT

As repercussões da infecção pelo SARS-CoV-2 - síndrome respiratória aguda grave coronavírus 2 em gestantes e recém-nascidos ainda não são bem conhecidas e as alterações fisiológicas e na imunidade mediada por células aumentam a suscetibilidade à infecção. É relatado caso de paciente de 27 anos, com idade gestacional de 31 semanas, teve quadro de irritação na garganta e contato indireto com indivíduo positivo para Covid-19. Negou odinofagia, febre, mal-estar e outros sintomas. Oroscopia sem anormalidades. Após cinco dias, evoluiu com tosse seca e ageusia, sem alteração na ausculta pulmonar e teste para Covid-19 positivo. Foi prescrito hidroxicloroquina, azitromicina e paracetamol. Evoluiu bem e a gestação se manteve saudável. O parto por cesárea ocorreu às 38 semanas e 4 dias gestação, sem intercorrências, apresentando o recém-nascido boa vitalidade e peso adequado. Coletou-se a sorologia (IgG e IgM) para Covid-19 no neonato, sendo o IgG reagente


The repercussions of SARS-CoV-2 infection - severe acute respiratory syndrome coronavirus 2 in pregnant women and newborns are still not well known and the physiological changes and cell-mediated immunity increase susceptibility to infection. A case of a 27-year-old patient, with a gestational age of 31 weeks, who had irritation in the throat and indirect contact with a positive individual for Covid-19 is reported. She denied odynophagia, fever, malaise and other symptoms. Oroscopy without abnormalities. After five days, she developed a dry cough and ageusia, with no change in pulmonary auscultation and a positive Covid-19 test. Hydroxychloroquine, azithromycin and paracetamol were prescribed. She evolved well and the pregnancy remained healthy. Cesarean delivery took place at 38 weeks and 4 days of gestation, with no complications, with the newborn having good vitality and adequate weight. Serology (IgG and IgM) was collected for Covid-19 in the neonate, with IgG being reagent


Subject(s)
Humans , Female , Pregnancy , Infant, Newborn , Immunoglobulins , Pregnancy , Diagnosis , COVID-19 , Immune System
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