A pregnant woman with COVID-19 complicated by superior sagittal sinus thrombosis
Kuwait Medical Journal, cilt.55, sa.4, ss.349-353, 2023 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 55 Sayı: 4
- Basım Tarihi: 2023
- Dergi Adı: Kuwait Medical Journal
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.349-353
- Anahtar Kelimeler: COVID-19, pregnancy, seizure, thrombosis
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Coronavirus disease 2019 (COVID-19) is a pandemic that affects people around the world. Among those affected are pregnant women, a particularly worrisome group who can show various clinical presentations of COVID-19. In this case, a woman at 33 weeks of gestation was admitted to the hospital with abdominal pain and shortness of breath. She had a seizure in the hospital inpatient clinical follow-up, and she was taken for an emergency cesarean section. Magnesium sulfate infusion was started during and after cesarean section due to the pre-diagnosis of eclampsia. After the postoperative diagnosis of COVID-19, hydroxychloroquine treatment was administered. The patient had a second seizure on the fifth postoperative day. After neurological examination and cranial MR venogram imaging, a thrombus in the upper sagittal sinus was revealed. Due to continuing uncontrolled seizures, she was intubated and started on lopinavir, ritonavir and enoxaparin treatment. The patient received COVID-19 plasma therapy and was later weaned. As a result, being aware of the increased rate of thromboembolic events in pregnant women who are positive for COVID-19 is of vital importance to reach differential diagnoses in complex clinical cases.