Severe COVID-19 in Cardiopath Young Pregnant Patient without Vertical Transmission

The new betacoronavirus, known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is the cause of COVID-19, and has spread rapidly around the world, reaching more than 200 countries, around 364 million people and causing more than 5 million deaths according to the World Health Organiza...

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Bibliographic Details
Published in:	Viruses Vol. 14; no. 4; p. 675
Main Authors:	França, Ana Paula Figueiredo de Montalvão, Pereira, Danielly do Vale, Rodrigues, Elaine Valéria, Vieira, Flávia Nunes, Machado, Karine Santos, Nogueira, Pedro Aleixo, Fonseca, Ricardo Roberto de Souza, Machado, Luiz Fernando Almeida
Format:	Journal Article
Language:	English
Published:	Switzerland MDPI AG 25-03-2022 MDPI
Subjects:	Adenoviruses Adult Blood pressure Cardiac arrhythmia cardiological infection Cardiovascular disease Communication congenital transmission Coronary artery disease Coronaviruses Cough COVID-19 COVID-19 - diagnosis Diabetes Disease transmission Fatalities Female Fever Heart Diseases Hospitalization Hospitals Humans Hypertension Illnesses Infant, Newborn Infections Infectious Disease Transmission, Vertical Influenza Intensive care Intubation Medical supplies Obstetrics Pandemics Patients Pregnancy Pregnancy Complications, Infectious - diagnosis Premature labor Respiratory syncytial virus Rheumatic fever Rheumatic heart disease SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 Surgery Viral infections Brazil SARS-CoV-2 congenital transmission coronaviruses cardiological infection
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Summary:	The new betacoronavirus, known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is the cause of COVID-19, and has spread rapidly around the world, reaching more than 200 countries, around 364 million people and causing more than 5 million deaths according to the World Health Organization, so this paper reports a fatal case of SARS-CoV-2 infection in a young pregnant woman with heart disease, without vertical transmission. A 26 years old patient at 28th week of pregnancy with regular prenatal care, presented dry cough, high fever, and severe respiratory distress. Due to her clinical symptoms, she sought medical care at a cardiology hospital in Northern Brazil. The medical conditions she presented were heart disease, rheumatic fever history and had no recent record of national or international travel. She was hospitalized and after clinical stabilization, she was referred for an emergency cesarean intervention. The young mother and the newborn were transferred to the intensive care unit after surgery, where diagnostic tests for respiratory viral infections, including SARS-CoV-2, were performed. The mother tested positive, while her newborn was negative for SARS-CoV-2 demonstrating no vertical transmission of SARS-CoV-2 in this severe case. This study reveals that despite the mother's initially mild symptoms, she progressed to severe clinical conditions resulting in death, although no vertical transmission was observed. This report highlights the relevance of comorbidities for the unfavorable clinical course of COVID-19.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 These authors contributed equally to this work.
ISSN:	1999-4915 1999-4915
DOI:	10.3390/v14040675