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1.
Medical Science ; 26(122):4, 2022.
Article in English | Web of Science | ID: covidwho-1887484

ABSTRACT

Infertility arising from infections is alarming cause of secondary infertility which is growing in number by the day. Mullerian anomalies can result in female infertility. A unicornuate uterus with a rudimentary horn is an abnormality induced by a faulty mullerian duct fusion. On Hysterosalpingogram, the uterine cavity has a spindle-shaped that tapers at the tip and drains in to a single oviduct. A 30 years old female with secondary infertility post COVID 19 infection, which upon investigated turned out to be unicornuate uterus with single fallopian tube on left side cornual block visualized in fallopian tube. All the causes of fallopian tube block including pelvic inflammatory disease, tuberculosis, trauma and bacterial infections were ruled out yielding COVID19 as the probable cause of infertility. Fallopian tube cannulation was done following which she conceived spontaneously. Elective encirclage done at 12 weeks and she was asked to report at 37 completed weeks for cervical stitch removal. After that emergency LSCS done. She delivered baby boy of 2.7kg with APGAR score 9/10. We concluded that angiotensin convertase enzyme 2 receptor were present on the fallopian tube might be responsible for post COVID fallopian tube blockage which is a topic for further studies. Prompt detection and management of long COVID sequelae in the form of infertility, particularly in predisposed people who are more likely to develop such difficulties, is thus critical to preserve infertility.

2.
Medical Science ; 26(122):8, 2022.
Article in English | Web of Science | ID: covidwho-1887480

ABSTRACT

COVID-19 (Coronavirus infectious disease 2019) denotes an ever changing and varied disease which has crippled the health care systems throughout the world. There have been studies conducted across the globe to establish the important factors for severity and mortality associated with COVID-19. We tried to study the effect of chronic obstructive pulmonary disease (COPD) on the severity as well as outcome of COVID-19. Material and methods: A total of 180 patients with COVID-19 were enrolled in this study and were then screened for history of COPD. There were 49 patients with history of COPD and 131 patients with no history of COPD. Inflammatory markers and HRCT scores were assessed for all the patients and they were followed up to study the outcome. Result: COPD was significantly associated HRCT Score, inflammatory markers and outcome. The mean HRCT Score for patients with COPD was more in COPD group (15.39 +/- 4.65) when compared with Non-COPD group (9.39 +/- 3.98). Mortality was also significantly higher in patients with COPD (67.3%) when compared to the patients without COPD (3.3%). Conclusion: We conclude that COPD is an important factor which has to be considered while treating the patients of COVID-19 especially in the rural India where lockdown restrictions and lack of knowledge have provided hinderance in achieving optimal follow up as there is increased severity and mortality associated with it.

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