SARS-CoV-2 placentitis as a cause of intrauterine death of a fetus in a patient with covid-19 infection and ongoing HELLP syndrome


Authors: Kouřilová J. 1;  Hylmarová J. 2
Authors‘ workplace: Gynekologicko-porodnické oddělení, Nemocnice Znojmo p. o. 1;  Ústav patologie, FN Brno 2
Published in: Ceska Gynekol 2022; 87(4): 269-273
Category: Case Report
doi: 10.48095/cccg2022269

Overview

Objective: We hereby present a case of intrauterine death of a fetus due to placental damage by placentitis caused by SARS-CoV-2 infection in ongoing covid-19 disease and HELLP syndrome. Case report: In this case report, we describe a patient who experienced intrauterine death of a fetus and the development of HELLP syndrome in ongoing covid-19 infection. Placentitis caused by SARS-CoV-2 infection was identified as the cause of intrauterine death of a fetus. After the end of pregnancy, a patient experienced an improvement in the symptoms of covid-19 and also a gradual improvement and adjustment of laboratory and coagulation parameters. Conclusion: SARS-CoV-2 infection in pregnancy can be complicated by the development of SARS-CoV-2 placenitis, which can cause intrauterine death of a fetus. Covid-19 infection can even have similar signs to HELLP syndrome and therefore careful monitoring of pregnant women with covid-19 is recommended.

Keywords:

HELLP syndrome – COVID-19 – pregnancy – placentitis


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Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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