Case Report
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A postpartum septic case: Differential diagnosis of COVID-19 infection and urosepsis.

Year 2021, Volume: 3 Issue: 2, 50 - 52, 25.06.2021
https://doi.org/10.46969/ezh.835911

Abstract

First identified in Wuhan of China, the novel coronavirus disease 2019 (COVID-19) is a respiratory tract infection with a
global public health emergency. Data regarding COVID-19 in pregnancy is limited, consisting of case reports and small
cohort studies. Postpartum urosepsis is also a globally common disease and well documented. Postpartum patients with
sepsis findings should be tested for COVID-19 during outbreak for public health and patients’ well-being. The clinical
characteristics of urosepsis might be similar to COVID-19 disease in postpartum patients. Here, we reported the clinical
management of a case with acute respiratory disorder and septic shock due to urosepsis in the postpartum period,
mimicking COVID-19 infection.

References

  • Maharaj D. Puerperal pyrexia: a review. Part I. Obstetrical & gynecological survey. 2007; 62:393-399.
  • Bone RC, Balk RA, Cerra FB, Dellinger RP, Fein AM, Knaus WA, et al. Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. Chest 1992; 101:1644-1655.
  • Bone RC, Sprung CL, Sibbald WJ. Definitions for sepsis and organ failure. Crit Care Med 1992; 20:724-726.
  • Dhama K, Khan S, Tiwari R, et al. Coronavirus Disease 2019-COVID-19. Clin Microbiol Rev 2020; 33:e00028-20.
  • Covid TC, Team R. Severe Outcomes Among Patients with Coronavirus Disease 2019 (COVID-19)-United States, February 12-March 16, 2020. MMWR Morb Mortal Wkly Rep. 2020; 69:343-346.
  • Organization WH. Laboratory testing for coronavirus disease 2019 (COVID-19) in suspected human cases: interim guidance, 2 March 2020. World Health Organization, 2020.
  • Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020; 395:497-506.
  • Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet 2020; 395:507-13.
  • Mullins E, Evans D, Viner RM, O'Brien P, Morris E. Coronavirus in pregnancy and delivery: rapid review. Ultrasound Obstet Gynecol 2020; 55:586-592.
  • De Rose DU, Piersigilli F, Ronchetti MP, et al. Novel Coronavirus disease (COVID-19) in newborns and infants: what we know so far. Ital J Pediatr 2020; 46:56.
  • van Dillen J, Zwart J, Schutte J, van Roosmalen J. Maternal sepsis: epidemiology, etiology and outcome. Current Opinion Inf Dis 2010; 23:249-254.
  • Knowles S, O'sullivan N, Meenan A, Hanniffy R, Robson M. Maternal sepsis incidence, aetiology and outcome for mother and fetus: a prospective study. BJOG 2015; 122:663-671.
  • Bamfo JE. Managing the risks of sepsis in pregnancy. Best Pract Res Clin Obstet Gynaecol 2013; 27:583-595.

Postpartum septik olgu: COVID-19 ve ürosepsisin ayırıcı tanısı

Year 2021, Volume: 3 Issue: 2, 50 - 52, 25.06.2021
https://doi.org/10.46969/ezh.835911

Abstract

İlk olarak Çin'in Wuhan kentinde tanımlanan yeni tip koronavirüs hastalığı (COVID-19), küresel bir halk sağlığı sorunu
olan, bir çeşit solunum yolu enfeksiyonudur. Vaka raporları ve küçük kohort çalışmalarından oluşan, gebelikte COVID-19
ile ilgili veriler sınırlıdır. Doğum sonrası ürosepsis de küresel olarak yaygın bir hastalıktır ve pekçok yayın bulunmaktadır.
Sepsis bulguları olan postpartum hastalar, salgın sırasında; halk sağlığı ve hastanın kendi iyiliği açısından COVID-19 için test
edilmelidir. Ürosepsisin klinik özellikleri, doğum sonrası hastalarda COVID-19 hastalığına benzer olabilir. Bu olgu sunumu
ile; postpartum dönemde ani akut solunum bozukluğu ve septik şok bulguları geliştiren bir vakada COVID-19 enfeksiyonu
ve ürosepsis ayırıcı tanısının ve tedavisinin nasıl yönetildiğini anlatmak amaçlanmıştır.

References

  • Maharaj D. Puerperal pyrexia: a review. Part I. Obstetrical & gynecological survey. 2007; 62:393-399.
  • Bone RC, Balk RA, Cerra FB, Dellinger RP, Fein AM, Knaus WA, et al. Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. Chest 1992; 101:1644-1655.
  • Bone RC, Sprung CL, Sibbald WJ. Definitions for sepsis and organ failure. Crit Care Med 1992; 20:724-726.
  • Dhama K, Khan S, Tiwari R, et al. Coronavirus Disease 2019-COVID-19. Clin Microbiol Rev 2020; 33:e00028-20.
  • Covid TC, Team R. Severe Outcomes Among Patients with Coronavirus Disease 2019 (COVID-19)-United States, February 12-March 16, 2020. MMWR Morb Mortal Wkly Rep. 2020; 69:343-346.
  • Organization WH. Laboratory testing for coronavirus disease 2019 (COVID-19) in suspected human cases: interim guidance, 2 March 2020. World Health Organization, 2020.
  • Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020; 395:497-506.
  • Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet 2020; 395:507-13.
  • Mullins E, Evans D, Viner RM, O'Brien P, Morris E. Coronavirus in pregnancy and delivery: rapid review. Ultrasound Obstet Gynecol 2020; 55:586-592.
  • De Rose DU, Piersigilli F, Ronchetti MP, et al. Novel Coronavirus disease (COVID-19) in newborns and infants: what we know so far. Ital J Pediatr 2020; 46:56.
  • van Dillen J, Zwart J, Schutte J, van Roosmalen J. Maternal sepsis: epidemiology, etiology and outcome. Current Opinion Inf Dis 2010; 23:249-254.
  • Knowles S, O'sullivan N, Meenan A, Hanniffy R, Robson M. Maternal sepsis incidence, aetiology and outcome for mother and fetus: a prospective study. BJOG 2015; 122:663-671.
  • Bamfo JE. Managing the risks of sepsis in pregnancy. Best Pract Res Clin Obstet Gynaecol 2013; 27:583-595.
There are 13 citations in total.

Details

Primary Language Turkish
Subjects Obstetrics and Gynaecology
Journal Section Case Report
Authors

Müjde Can İbanoğlu 0000-0002-8413-2064

Ayse Gulcin Bastemur This is me 0000-0001-8362-7324

Harun Karaağaç This is me 0000-0002-5993-0224

Ertan Akpınar This is me 0000-0002-3885-5739

Aslıhan Kara This is me 0000-0002-6278-4424

Ayşe Özcan 0000-0002-5224-554X

Ömer Lütfi Tapısız 0000-0002-7128-8086

Yaprak Ustun 0000-0002-1011-3848

Publication Date June 25, 2021
Acceptance Date June 13, 2021
Published in Issue Year 2021 Volume: 3 Issue: 2

Cite

APA İbanoğlu, M. C., Bastemur, A. G., Karaağaç, H., Akpınar, E., et al. (2021). Postpartum septik olgu: COVID-19 ve ürosepsisin ayırıcı tanısı. Türk Kadın Sağlığı Ve Neonatoloji Dergisi, 3(2), 50-52. https://doi.org/10.46969/ezh.835911
AMA İbanoğlu MC, Bastemur AG, Karaağaç H, Akpınar E, Kara A, Özcan A, Tapısız ÖL, Ustun Y. Postpartum septik olgu: COVID-19 ve ürosepsisin ayırıcı tanısı. Türk Kadın Sağlığı ve Neonatoloji Dergisi. June 2021;3(2):50-52. doi:10.46969/ezh.835911
Chicago İbanoğlu, Müjde Can, Ayse Gulcin Bastemur, Harun Karaağaç, Ertan Akpınar, Aslıhan Kara, Ayşe Özcan, Ömer Lütfi Tapısız, and Yaprak Ustun. “Postpartum Septik Olgu: COVID-19 Ve ürosepsisin ayırıcı tanısı”. Türk Kadın Sağlığı Ve Neonatoloji Dergisi 3, no. 2 (June 2021): 50-52. https://doi.org/10.46969/ezh.835911.
EndNote İbanoğlu MC, Bastemur AG, Karaağaç H, Akpınar E, Kara A, Özcan A, Tapısız ÖL, Ustun Y (June 1, 2021) Postpartum septik olgu: COVID-19 ve ürosepsisin ayırıcı tanısı. Türk Kadın Sağlığı ve Neonatoloji Dergisi 3 2 50–52.
IEEE M. C. İbanoğlu, “Postpartum septik olgu: COVID-19 ve ürosepsisin ayırıcı tanısı”, Türk Kadın Sağlığı ve Neonatoloji Dergisi, vol. 3, no. 2, pp. 50–52, 2021, doi: 10.46969/ezh.835911.
ISNAD İbanoğlu, Müjde Can et al. “Postpartum Septik Olgu: COVID-19 Ve ürosepsisin ayırıcı tanısı”. Türk Kadın Sağlığı ve Neonatoloji Dergisi 3/2 (June 2021), 50-52. https://doi.org/10.46969/ezh.835911.
JAMA İbanoğlu MC, Bastemur AG, Karaağaç H, Akpınar E, Kara A, Özcan A, Tapısız ÖL, Ustun Y. Postpartum septik olgu: COVID-19 ve ürosepsisin ayırıcı tanısı. Türk Kadın Sağlığı ve Neonatoloji Dergisi. 2021;3:50–52.
MLA İbanoğlu, Müjde Can et al. “Postpartum Septik Olgu: COVID-19 Ve ürosepsisin ayırıcı tanısı”. Türk Kadın Sağlığı Ve Neonatoloji Dergisi, vol. 3, no. 2, 2021, pp. 50-52, doi:10.46969/ezh.835911.
Vancouver İbanoğlu MC, Bastemur AG, Karaağaç H, Akpınar E, Kara A, Özcan A, Tapısız ÖL, Ustun Y. Postpartum septik olgu: COVID-19 ve ürosepsisin ayırıcı tanısı. Türk Kadın Sağlığı ve Neonatoloji Dergisi. 2021;3(2):50-2.