A full-term pregnant woman with secondary Evans syndrome caused by severe coronavirus disease 2019: a case report.
J Med Case Rep
; 15(1): 606, 2021 Dec 13.
Article
in English
| MEDLINE | ID: covidwho-1571931
ABSTRACT
BACKGROUND:
In this report, we describe a very challenging case of a patient with secondary Evans syndrome caused by severe coronavirus disease 2019 infection in a pregnant full-term woman. CASE PRESENTATION A 29-year-old full-term pregnant Indonesian woman presented with gross hematuria, dry cough, fever, dyspnea, nausea, anosmia, and fatigue 5 days after confirmation of coronavirus disease 2019 infection. Laboratory examinations showed very severe thrombocytopenia, increased indirect bilirubin, and a positive direct Coombs' test. From peripheral blood, there was an increased number of spherocytes, which indicated an autoimmune hemolytic process. Antinuclear antibody and anti-double-stranded DNA test results were negative, and her virology serological markers are also negative for human immunodeficiency virus, cytomegalovirus, and hepatitis B and C. Despite aggressive treatment with platelet transfusion, high-dose steroid, and thrombopoietin receptor agonists, the platelet count did not recover, and a speculative cesarean delivery had to be done with a very low platelet count.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Thrombocytopenia
/
COVID-19
Type of study:
Case report
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Language:
English
Journal:
J Med Case Rep
Year:
2021
Document Type:
Article
Affiliation country:
S13256-021-03205-6
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