Author/Authors :
Shojaei, pouzhia Anesthesiology and Critical Care Medicine Department - Imam Hossein (A.S.) Medical and Educational Center - Shahid Beheshti University of Medical Sciences, Tehran , Kouchek, Mehran Anesthesiology and Critical Care Medicine Department - Imam Hossein (A.S.) Medical and Educational Center - Shahid Beheshti University of Medical Sciences, Tehran , Miri, Mir Mohammad Anesthesiology and Critical Care Medicine Department - Imam Hossein (A.S.) Medical and Educational Center - Shahid Beheshti University of Medical Sciences, Tehran , Salarian, Sara Anesthesiology and Critical Care Medicine Department - Imam Hossein (A.S.) Medical and Educational Center - Shahid Beheshti University of Medical Sciences, Tehran , Sistanizad, Mohammad Anesthesiology and Critical Care Medicine Department - Imam Hossein (A.S.) Medical and Educational Center - Shahid Beheshti University of Medical Sciences, Tehran , Ariana, Shideh Department of Obstetrics and Gynecology - Imam Hossein (A.S.) Medical and Educational Center - Shahid Beheshti University of Medical Sciences, Tehran , Hosseini, Maryamsadat Department of Obstetrics and Gynecology - Imam Hossein (A.S.) Medical and Educational Center - Shahid Beheshti University of Medical Sciences, Tehran , Shoaee, Simindokht Department of Infectious Disease - Imam Hossein (A.S.) Medical and Educational Center - Shahid Beheshti University of Medical Sciences, Tehran , Haghighi, Mehrdad Department of Infectious Disease - Imam Hossein (A.S.) Medical and Educational Center - Shahid Beheshti University of Medical Sciences, Tehran , Nabavi, Mahmood Department of Infectious Disease - Imam Hossein (A.S.) Medical and Educational Center - Shahid Beheshti University of Medical Sciences, Tehran , Farahbakhsh, Mohammad Department of Infectious Disease - Imam Hossein (A.S.) Medical and Educational Center - Shahid Beheshti University of Medical Sciences, Tehran , Ansar, Padideh Anesthesiology Research Center - Shahid Beheshti University of Medical Sciences, Tehran , Mirhadi, Mahsaalsadat Department of Obstetrics and Gynecology - Imam Hossein (A.S.) Medical and Educational Center - Shahid Beheshti University of Medical Sciences, Tehran , Hadavand, Fahimeh Department of Infectious Disease - Imam Hossein (A.S.) Medical and Educational Center - Shahid Beheshti University of Medical Sciences, Tehran
Abstract :
A pregnant woman (Gravida 2, Abortion 1, twin pregnancy with
microinjection, Gestational Age: 23 weeks and 3 days) was referred to a tertiary
referral hospital with complaints of fever, dry cough and dyspnea. She was
admitted with a diagnosis of COVID-19. During her hospitalization, O2
saturation progressively declined, which required acute respiratory care and
support leading to intubation and mechanical ventilation. Gradual recovery
occurred through treatment processes and finally the patient was extubated.
However, there was another episode of respiratory failure leading to
reintubation after 5 days. Meanwhile, serum liver enzymes increased
significantly and leaded to intrauterine death of both fetus followed by a critical
decline in cardiac output to less than 10% and cardiac arrest followed by
unsuccessful resuscitation within hours.
Keywords :
COVID-19 , Twin pregnancy , Coronavirus , SARS-COV-2 , 2019 novel coronavirus , Pregnancy , IUFD , Coronavirus disease (COVID-19) , Myocarditis
