A Rare Case of Successful Management of Postpartum COVID-19-Related Coagulopathy

Pulmonary embolism, while a rare and life-threatening condition, is increasingly recognized in the context of pregnancy, particularly when compounded by infections such as coronavirus disease 2019 (COVID-19). This case report describes a 34-year-old pregnant woman, at 32 weeks of gestation, who deve...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2023-12, Vol.15 (12), p.e50986
Main Authors: Joshi, Sr, Ritesh R, Bhattacharya, Rumi, Sapre, Shilpa
Format: Article
Language:English
Subjects:
Anticoagulants
Blood clots
Case reports
Coronaviruses
COVID-19
Emergency medical care
Gynecology
Hospitals
Intensive care
Internal Medicine
Medical imaging
Multidisciplinary teams
Obstetrics
Obstetrics/Gynecology
Oxygen saturation
Patients
Pneumonia
Pregnancy
Pulmonary arteries
Pulmonary embolisms
Radiology
Surgery
Thromboembolism
Tomography
Ventilators
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Summary:Pulmonary embolism, while a rare and life-threatening condition, is increasingly recognized in the context of pregnancy, particularly when compounded by infections such as coronavirus disease 2019 (COVID-19). This case report describes a 34-year-old pregnant woman, at 32 weeks of gestation, who developed COVID-19-related coagulopathy despite prophylactic treatment with low molecular weight heparin (LMWH). Admitted with symptoms of breathlessness, fever, and cough, she was diagnosed with COVID-19 and subsequently developed pulmonary embolism. This development was particularly unusual given her ongoing LMWH therapy. Diagnosis in such cases relies heavily on clinical assessment, evaluation of risk factors, and diagnostic tools, with computed tomography pulmonary angiography being pivotal for confirmation. This case highlights the complexities involved in managing COVID-19 among pregnant patients, especially the increased risk and diagnostic challenges associated with thromboembolic disorders. The successful resolution of the case, attributed to a multidisciplinary team's timely intervention and coordinated approach, emphasizes the critical need for prompt and individualized treatment strategies in similar clinical scenarios.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.50986