Concomitant Lung Abscess and Endometritis in a Woman with Turner Syndrome in

Maryam m Hashemi
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Abstract

Objective: To report a rare case of Turner syndrome (TS) in postpartum period in COVID-19 era. Case Report: A 27-year-old woman with TS and twin pregnancy referred for preterm premature rupture of membranes (PPROM) and severe anemia. Hysterotomy was done in this case and after that, she presented a persistent fever. PCR result for COVID-19 was negative. She had hemoptysis and anti-tuberculosis drugs were given. Lung abscess was diagnosed and right lobectomy was performed. Regardless of it, the fever continued and hysterectomy were carried out. Despite of this, fever continued. Finally, after 57 days, the patient was discharged.The patient was followed up for three months and she was afebrile and had no cough. Conclusion: Women with TS are cases with multiple problems and it is necessary to mitigate them. In COVID-19 era, some of postpartum complications in these patients are like to COVID-19 symptoms and make their management difficult. Clinicians should consider life-threatening risks in these patients before recommending and using assisted reproductive techniques (ART), especially in more than one embryo transfer.
特纳综合征并发肺脓肿和子宫内膜炎1例
目的:报道1例新冠肺炎(COVID-19)时期产后特纳综合征(TS)。病例报告:一个27岁的妇女与TS和双胎妊娠转介早产胎膜早破(PPROM)和严重贫血。本病例行子宫切除术,术后出现持续发热。COVID-19 PCR结果为阴性。她有咯血,并给予抗结核药物。诊断为肺脓肿,行右肺叶切除术。尽管如此,患者仍持续发热,并进行了子宫切除术。尽管如此,发烧仍在继续。57天后,患者终于出院。患者随访3个月,无发热、咳嗽。结论:女性TS患者存在多重问题,有必要予以缓解。在新冠肺炎时代,这些患者的一些产后并发症与新冠肺炎症状相似,给治疗带来了困难。临床医生在推荐和使用辅助生殖技术(ART)前应考虑到这些患者的生命危险,特别是在多个胚胎移植中。
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