Coronavirus disease 2019 on routine testing in eclampsia :

Show simple item record

dc.contributor.author Kalsar, Pradip
dc.contributor.author Datta, Shreya
dc.contributor.author Kalsar, Arbabasu
dc.contributor.author Kanyike, Andrew Marvin
dc.date.accessioned 2022-05-20T06:48:54Z
dc.date.available 2022-05-20T06:48:54Z
dc.date.issued 2022
dc.identifier.citation Kalsar, P., . . . [et a.]. (2022). Coronavirus disease 2019 on routine testing in eclampsia: a case report. J Med Case Reports 16, 100 (2022). https://doi.org/10.1186/s13256-022-03308-8. en_US
dc.identifier.uri https://doi.org/10.60682/29w3-xy40
dc.description Article en_US
dc.description.abstract Background: Coronavirus disease 2019 has been associated with adverse pregnancy outcomes, including preeclampsia. Coronavirus disease 2019 and preeclampsia have overlapping clinical features and are therefore Challenging to differentiate. Since pregnant women are not routinely tested for coronavirus disease 2019, it is prudent to test for it among patients presenting with preeclampsia or eclampsia. Case presentation: A 23-year-old female, a Munda, gravida 1 para 0, at 36 weeks and 5 days of amenorrhea presented to Mal Super Specialty Hospital as a referral in a semiconscious state after a severe attack of tonic–clonic seizures. Detailed history from the husband was insignificant except for a persistent cough for the last 7 days. She had denied any visual changes, headaches, or vaginal discharge. Physical examination revealed tachycardia (150 beats per minute), elevated blood pressure (187/111 mmHg), tachypnea (36 breaths per minute), and oxygen saturation of 94% on room air. Routine coronavirus disease 2019 rapid test was positive, and urine dipstick was +3. Additional tests revealed leucocytosis and elevated liver enzymes. Chest radiograph revealed prominent interstitial markings, and a bedside transabdominal ultrasonography showed a live single intrauterine fetus in cephalic presentation with normal cardiac activity and movements. A diagnosis of a prime gravida with eclampsia and coronavirus disease 2019 was made. She was managed with intravenous labetalol; she had already received a loading dose of intravenous magnesium sulfate, and we administered two maintenance doses during monitoring. Within an hour of admission, she had a spontaneous rupture of the amniotic membranes, with meconium-stained liquor (grade 2), and the fetal heart rate (148 beats per minute) was reassuring. She had an uncomplicated vaginal delivery of a live male newborn. Shortly after delivery, she developed slight respiratory distress and significant luid overload that was managed with furosemide. Coronavirus disease 2019 reverse-transcription polymerase chain reaction test came back negative for the neonate and positive for the mother. She was shifted to the coronavirus disease 2019 treatment unit, and her contact with the child was limited. She was kept on a course of tablets ivermectin, zinc, vitamin C, montelukast, azithromycin, metronidazole, and injectable pantoprazole. The mother and child were discharged on day 15 after recovery with negative COVID nasopharyngeal swab. Conclusion: A diagnosis of preeclampsia or eclampsia should prompt testing for coronavirus disease 2019. Keywords: Eclampsia, Preeclampsia, COVID-19, Routine testing, Pregnancy en_US
dc.description.sponsorship Busitema University. en_US
dc.language.iso en en_US
dc.publisher BMC. en_US
dc.subject Eclampsia en_US
dc.subject Preeclampsia en_US
dc.subject COVID-19 en_US
dc.subject Routine testing en_US
dc.subject Pregnancy en_US
dc.title Coronavirus disease 2019 on routine testing in eclampsia : en_US
dc.title.alternative a case report en_US
dc.type Article en_US


Files in this item

This item appears in the following Collection(s)

Show simple item record

Search BUOADIR


Browse

My Account