Metabolic Ketoacidosis in a Gravida Diagnosed with COVID-19: A Case Report
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.
Full text:
Available
Collection:
Databases of international organizations
Database:
Web of Science
Type of study:
Case report
Language:
English
Journal:
Journal of Pharmaceutical Research International
Year:
2021
Document Type:
Article
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