التفاصيل البيبلوغرافية
العنوان: |
Stillbirth and fulminant postpartum haemolysis: COVID-19 or leptospirosis or both? |
المؤلفون: |
Sutter, Tabea, Fehr, Thomas, Blume, Carolin, Kajdi, Marie-Elisabeth |
المصدر: |
BMJ Case Reports; Jun2023, Vol. 16 Issue 6, p1-4, 4p |
مستخلص: |
We report the case of a female patient with a SARSCoV-2 infection first diagnosed at 32 2/7 weeks of gestation, resulting in stillbirth at 33 5/7 weeks of gestation. Post partum the patient presented with severe and persistent haemolysis, mild thrombocytopaenia, renal insufficiency and proteinuria as well as elevated liver enzymes and jaundice. Further investigations revealed a positive IgM for Leptospira interrogans and proof of infection by PCR in the urine. The patient was treated with penicillin for 7 days and received a total of 23 units of red blood cells within 11 days. Haemolysis diminished over time and haemoglobin, proteinuria and transaminases normalised within 23 days after delivery. We suppose an acute leptospirosis as underlying cause for the haemolysis, mimicking pregnancy-associated thrombotic microangiopathy. Whether stillbirth was related to leptospirosis or SARS-CoV-2 infection remains unclear. [ABSTRACT FROM AUTHOR] |
|
Copyright of BMJ Case Reports is the property of BMJ Publishing Group and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
قاعدة البيانات: |
Complementary Index |