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1.
Medical Science ; 25(116):2524-2528, 2021.
Article in English | Web of Science | ID: covidwho-1553268

ABSTRACT

Since 2019, The Coronavirus Disease (COVID19) has emerged as a global health concern. Various kinds of disorders like the vascular involvement along with neurological complications continue to be reported worldwide. In this case report we describe the case of a 28 year old Female who was antenatal (6.5 months) presented with Genereliazed Tonic Clonic Convulsions of duration more than 30 minutes which upon investigations turned out to be a case of subdural bleed and upon Nasopharyngeal swab testing revealed to be COVID19 positive case. Though the patient underwent urgent craniotomy and evacuation of hematoma was done, the patient ultimately succumbed leading to maternal mortality. Thus, this case report is an attempt to draw attention towards the maternal mortality caused due to COVID19 which we tend to overlook.

2.
Journal of Pharmaceutical Research International ; 33(45A):328-333, 2021.
Article in English | Web of Science | ID: covidwho-1513166

ABSTRACT

We present a case of term pregnancy which presented with chief complaint of Breathlessness, chest pain as well as a one day history of vomiting. She tested positive for COVID19 through reverse transcriptase polymerase chain reaction of nasopharyngeal swab and the symptoms were attributed to Pneumonia caused due to COVID19.However,the arterial blood gas showed metabolic acidosis with high anion gap. This was a non lactate acidosis with no hypoxemia. Most reasonably the state of pregnancy with increased energy demands along with increased metabolic maternal demand due to infection coupled with maternal starvation had resulted in this Ketoacidosis. In view of non progression of labor caesarian section was carried out and a healthy neonate was delivered. There was an initial improvement in maternal ketoacidosis post partum however optimal management of COVID19 pneumonia required oxygen support and use of corticosteroids. Thus we highlight how an unusual metabolic demands of pregnancy might mimic COVID19.

3.
Medical Science ; 25(112):1427-1431, 2021.
Article in English | Web of Science | ID: covidwho-1292399

ABSTRACT

A 28 year old female who primigravida presented with high grade fever and breathlessness since one day with a saturation of 70 percent on room air. She required an urgent Cesarean section. She later tested positive for COVID-19. HRCT Chest showed extensive bilateral ground glass opacity with a CT Severity Score of 23/25 and CORAD 6. In view of raised inflammatory markers was managed with Monodonal Antibody against Interleukin 6 and Prone Ventilation along with other supportive measures. The patient ultimately recovered thus showcasing the miracle of early administration of monoclonal antibody and the effect of prone ventilation in a case of severe acute respiratory distress syndrome seen in Post Natal Period thus preventing maternal mortality.

4.
Medical Science ; 25(112):1286-1290, 2021.
Article in English | Web of Science | ID: covidwho-1265299

ABSTRACT

Ever since its emergence since 2019, Coronavirus Disease 2019 (COVID-19) has brought the healthcare setup down with its burden of varied appearance and presentation. It can lead to a severe disease with respiratory distress syndrome along with hypercoagulability and various neurological complications. There has been an emergence of a large population of patients who develop a subsequent long term disease known as "long-COVID' which is thought to be secondary to chronic tissue inflammation. We Report a case a 34-year-old female who was infected with COVID-19 12 months back and presented with infertility as a post COVID sequelae. This is the first case report linking Ovarian Failure with COVID-19 in our knowledge.

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