Asymptomatic COVID-19 in pregnant woman with typical chest CT manifestation: a case report/ 中华围产医学杂志

Q4 Medicine

中华围产医学杂志 Pub Date : 2020-03-04 DOI:10.3760/CMA.J.CN113903-20200220-00134

Ren-bin Zhou, Yixiang Chen, Chuang-xing Lin, Heida Li, Xiao-ying Cai, Zhi-wei Cai, G. Lin

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引用次数: 11

Abstract

We report a case of maternal asymptomatic COVID-19 in a patient with typical CT image of pneumonia in the third trimester, and both the mother and baby were well. The patient, a 30-year-old female, was transferred to Yichun People's Hospital at 37+3 gestational weeks because of a positive 2019 novel coronavirus nucleic acid result over seven hours. Her husband and mother-in-law were diagnosed with COVID-19 eight days before her admission and on the same day, respectively. The patient reported no discomfort before admission, and there were no abnormalities in the prenatal course during her pregnancy. On February 13 (the second day of admission), a patchy blurred shadow was observed in the lower lobe of the right lung in chest CT scan, and a live baby girl was delivered by a precaution-based emergent cesarean section because of suspected fetal distress shown in electrical fetal heart monitoring. Both the mother and the newborn were isolated separately after the operation without etiological examination of amniotic fluid, umbilical cord blood, placenta, etc. All the medical staff involved in the cesarean section were isolated as well. The mother was healthy and remained asymptomatic after delivery, while antiviral and anti-inflammatory treatment was offered. COVID-19 nucleic acid tests of pharyngeal swab were negative on the 4th and 6th day after operation. Chest CT on the 5th day after delivery showed inflammation in the lower lobe of the right lung, and reexamination on the 8th day showed a slight absorption of the inflammation. Samples of peripheral blood and pharynx swab were obtained from the newborn on the day of birth and four and seven days after birth and novel coronavirus nucleic acid test were all negative. The mother and baby dyad were discharged nine days after operation. And novel coronavirus nucleic acid tests were all negative in all medical staff involved. Key words: Coronavirus; Coronavirus infections; COVID-19; Pregnancy complications, infectious

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有典型胸部CT表现的孕妇无症状新冠肺炎1例

我们报告一例妊娠晚期肺炎CT表现典型的产妇无症状COVID-19病例，母婴均健康。该患者为一名30岁的女性，因在7小时内检测出2019冠状病毒核酸阳性，于37+3孕周时被转至伊春市人民医院。她的丈夫和婆婆分别在入院前8天和同一天被确诊为新冠肺炎。患者入院前无任何不适，孕期无任何异常。2月13日(入院第2天)胸部CT示右肺下叶片状模糊影，因胎心电监测疑似胎儿窘迫，采取预防性紧急剖宫产接生一名女婴。术后不做羊水、脐带血、胎盘等病因检查，将母儿分开隔离。所有参与剖宫产手术的医务人员也被隔离。母亲健康，分娩后无症状，同时给予抗病毒和抗炎治疗。术后第4、6天咽拭子新冠病毒核酸检测均为阴性。产后第5天胸部CT示右肺下叶炎症，第8天复查炎症轻度吸收。新生儿出生当天、出生后4天和7天采集外周血和咽拭子标本，新型冠状病毒核酸检测均为阴性。母亲和婴儿在手术后9天出院。所有医务人员新型冠状病毒核酸检测均为阴性。关键词:冠状病毒;冠状病毒感染;COVID-19;妊娠并发症，传染性

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来源期刊

中华围产医学杂志 Medicine-Obstetrics and Gynecology

CiteScore

0.70

自引率

0.00%

发文量

4446

期刊介绍：