28 October 2020: Articles
Severe COVID-19 Pneumonia in a 30-Year-Old Woman in the 36 Week of Pregnancy Treated with Postpartum Extracorporeal Membrane Oxygenation
Unusual clinical course, Unusual or unexpected effect of treatment, Educational Purpose (only if useful for a systematic review or synthesis)
Wataru Takayama A* , Akira Endo A , Junichiro Yoshii B , Hirokuni Arai D , Keiji Oi C , Eiki Nagaoka C , Satoshi Toyama C , Hiroto Yamamoto C , Tokujiro Uchida D , Yasuhiro Otomo CDOI: 10.12659/AJCR.927521
Am J Case Rep 2020; 21:e927521
Figure 1. Anteroposterior chest X-ray in a 30-year-old woman who underwent cesarean section at 36 weeks of pregnancy with COVID-19 infection showing the lung changes after the onset of symptoms and hospital admission. (A) Day 6 after the onset of symptoms, the lung fields show faint bilateral patchy opacities. (B) Day 8 after the onset of symptoms, radiological worsening, with involvement of lower lobes. (C) Hospital day 1 (day 9 after the onset of symptoms), the lung fields show bilateral alveolar consolidation with panlobular affectation, with typical radiological findings of ARDS. Endotracheal tube and central venous line were required. (D) Hospital day 7, the lung fields show radiological worsening. extracorporeal membrane oxygenation (ECMO) was administered. (E) Hospital day 15, the lung fields show radiological improvement after ECMO therapy. (F) Hospital day 19 after extubation, the lung fields show radiological improvement.