Acute respiratory distress syndrome in pregnant women infected with SARS-CoV-2 - a case report.

The outbreak of the COVID-19 pandemic caused new diagnostic difficulties in the practice of many doctors. The disease is still not well understood. The group of people commonly considered to be the most sensitive to severe SARS-CoV-2 infection are the elderly and those with chronic diseases. However, we cannot forget about pregnant women, whose risk rates for various complications are also very high. A CASE REPORT: We present the case of a 38-year-old woman in whom acute respiratory failure caused by infection with SARS-CoV-2 led to premature termination of pregnancy by caesarean section. It resulted in a multi-day stay in the intensive care unit with long-term respiratory therapy. Despite the treatment that was recommended at that time, the patient's condition did not improve for a long time, and the results of laboratory tests indicated a continuous, active inflammatory process. We prove that COVID-19 infection in pregnant women results in a more severe course of the disease, with relatively frequent complications. Our work is aimed at making doctors of various specializations aware of how dangerous SARS-CoV-2 infection can be in pregnant women and warning them against ignoring scanty symptoms in pregnant patients.

Assessment of the metabolic control in children with type 1 diabetes.

INTRODUCTION: The increase in morbidity of type 1 diabetes (T1D) is observed in Poland and worldwide, particularly among the youngest patients. To prevent chronic hyperglycemia's complications, it is advised to maintain best possible metabolic control from the time of diagnosis of the disease. AIM: The purpose of this research is to evaluate adherence to medical recommendations in regard to appropriate metabolic control of T1D in children, based on Polish Diabetes Association (PTD) 2019 criteria. MATERIAL AND METHODS: The medical records of 388 patients with T1D hospitalized in our department between June 2018 and July 2019 were analyzed. Two hundred patients hospitalized for routine control tests were enrolled in the study. The patients were evaluated with respect to meeting the criteria for metabolic control recommended by PTD 2019 including gender, duration of disease and treatment technique. The relation between the percentage of HbA1c and age, duration of the disease and lipid metabolism was studied. RESULTS: In the assessed group 7% of patients met all PTD's criteria of metabolic control. There was a statistically significant difference in percentage of HbA1c in serum between girls and boys (12.64% vs. 26.55%, p = 0.02). The trend was observed between patients with T1D lasting less than or equal 3 years and those with long-standing disease (28.72% vs. 13.21%, p = 0.007). A significant, positive correlation was demonstrated between percentage of HbA1c and low-density lipoprotein (LDL) level (r = 0.244), triglyceride (TG) level (r = 0.234) and duration of the disease (r = 0.278). CONCLUSIONS: A low percentage of patients is able to achieve all aims stated by the PTD.