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Clinical improvement of severe COVID-19 pneumonia in a pregnant patient after caesarean delivery.
Oliva, Margeaux; Hsu, Karen; Alsamarai, Sarah; Chavez, Vincent de; Ferrara, Lauren.
  • Oliva M; Obstetrics and Gynecology, Icahn School of Medicine at Mount Sinai, New York, New York, USA margeaux.oliva@mountsinai.org.
  • Hsu K; Obstetrics and Gynecology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
  • Alsamarai S; Infectious Disease, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
  • Chavez V; Infectious Disease, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
  • Ferrara L; Maternal Fetal Medicine, Obstetrics and Gynecology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
BMJ Case Rep ; 13(7)2020 Jul 16.
Article in English | MEDLINE | ID: covidwho-649010
ABSTRACT
The clinical implications of COVID-19 in pregnancy remain unknown. While preliminary reports demonstrate that pregnant patients have a similar symptomatic presentation to the general population, the appropriate management and timing of delivery in these patients is still unclear, as pregnancy may impose additional risk factors and impede recovery in gravid patients. In this brief report, we present a case of COVID-19 in a pregnant patient with severe respiratory compromise, whose clinical status significantly improved after caesarean delivery. We also address the potential benefits of experimental therapy, including tocilizumab, a monoclonal antibody that targets interleukin-6 receptors.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Pregnancy Complications, Infectious / Cesarean Section / Coronavirus Infections / Antibodies, Monoclonal, Humanized / Betacoronavirus / Hydroxychloroquine / Anti-Bacterial Agents Type of study: Case report / Prognostic study Limits: Adult / Female / Humans / Pregnancy Language: English Year: 2020 Document Type: Article Affiliation country: Bcr-2020-236290

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Pregnancy Complications, Infectious / Cesarean Section / Coronavirus Infections / Antibodies, Monoclonal, Humanized / Betacoronavirus / Hydroxychloroquine / Anti-Bacterial Agents Type of study: Case report / Prognostic study Limits: Adult / Female / Humans / Pregnancy Language: English Year: 2020 Document Type: Article Affiliation country: Bcr-2020-236290