对刚果民主共和国东部布卡武第一位感染 COVID-19 的孕妇的个案研究。

Etienne Kajibwami Birindwa, Guy Mulinganya Mulumeoderhwa, Olivier Nyakio, Guy-Quesney Mateso Mbale, Serge Zigabe Mushamuka, Jeanne Maningo Materanya, Pierrot Mulumeoderhwa Kahasha, Yvette Kujirakwinja Bisimwa, Freddy Mirindi Kampara, Jules Mongane Irenge, Isaac Barhishindi Kibalama, Pierre Kabuya Luzadi, Espoir Bwenge Malembaka, Daniel Garhalangwa-Na-Muntu Mayeri, Marius Baguma, Ghislain Bisimwa Balaluka
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引用次数: 0

摘要

导言covid-19有可能垂直传播,其风险因素值得研究。孕妇胎盘的变化对胎儿有明确的影响:我们报告了一例 25 岁妇女的病例,她怀孕 3 週,第 2 期(2 个活产婴儿),有两次剖腹产史,在怀孕的最后一 期感染了 SARS-CoV-2。她在妊娠 34 周时剖腹产下一名新生儿,该新生儿也感染了 SARS-CoV-2。围手术期的观察发现,骨盆有多处糜烂性病变,接触时会出血。对胎儿附属器官的显微镜检查发现,胎盘和脐带血管中存在血栓性血管病变:本病例是撒哈拉以南非洲地区首例记录在案的妊娠期 COVID-19 病例之一。我们强烈建议产科医生仔细检查受影响孕妇的腹膜、内脏和胎儿附属器官。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A case study of the first pregnant woman with COVID-19 in Bukavu, eastern Democratic Republic of the Congo.

A case study of the first pregnant woman with COVID-19 in Bukavu, eastern Democratic Republic of the Congo.

A case study of the first pregnant woman with COVID-19 in Bukavu, eastern Democratic Republic of the Congo.

A case study of the first pregnant woman with COVID-19 in Bukavu, eastern Democratic Republic of the Congo.

Introduction: Vertical transmission of covid-19 is possible; its risk factors are worth researching. The placental changes found in pregnant women have a definite impact on the foetus.

Case presentation: We report a case of a 25-year-old woman, gravida 3, para 2 (2 alive children), with a history of two caesarean deliveries, who was infected by the SARS-CoV-2 during the last term of her pregnancy. She gave birth by caesarean at 34 weeks of gestation to a newborn baby also infected with SARS-CoV-2. The peri-operative observations noted several eruptive lesions in the pelvis, bleeding on contact. Microscopic examination of the foetal appendages revealed thrombotic vasculopathy in the placenta and in the umbilical cord vessels.

Conclusion: This case is one of the first documented cases of COVID-19 in pregnancy in sub-Saharan Africa. We strongly suggest obstetricians to carefully examine the aspect of the peritoneum, viscera and foetal appendages in affected pregnant women.

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