scholarly journals No evidence of vertical transmission of SARS-CoV-2 after induction of labour in an immune-suppressed SARS-CoV-2-positive patient

2020 ◽  
Vol 13 (6) ◽  
pp. e235581 ◽  
Author(s):  
Koen Grimminck ◽  
Lindy Anne Maria Santegoets ◽  
Frederike Charlotte Siemens ◽  
Pieter Leendert Alex Fraaij ◽  
Irwin Karl Marcel Reiss ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Severe Acute Respiratory Syndrome ◽  
Vertical Transmission ◽  
Lupus Erythematosus ◽  
Pregnant Patient ◽  
Positive Patient ◽  
Induction Of Labour ◽  
Systemic Lupus ◽  
Short Overview ◽  
Respiratory Problem

We present a case of a 38+1 weeks pregnant patient (G1P0) with a proven COVID-19 infection, who was planned for induction of labour because of pre-existent hypertension, systemic lupus erythematosus, respiratory problem of coughing and mild dyspnoea without fever during the COVID-19 pandemic in March 2020. To estimate the risk of vertical transmission of Severe Acute Respiratory Syndrome CoronaVirus 2 (SARS-CoV-2) during labour and delivery, we collected oropharyngeal, vaginal, urinary, placental and neonatal PCRs for SARS-CoV-2 during the period of admission. All PCRs, except for the oropharyngeal, were negative and vertical transmission was not observed. Labour and delivery were uncomplicated and the patient and neonate were discharged the next day. We give a short overview of the known literature about SARS-CoV-2-related infection during pregnancy, delivery and outcome of the neonate.

scholarly journals A case of SLE with COVID-19 and multiple infections

Open Medicine ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. 1054-1060
Author(s):  
Ruoqi Ning ◽  
Silu Meng ◽  
Fangxu Tang ◽  
Chong Yu ◽  
Dong Xu ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Severe Acute Respiratory Syndrome ◽  
Lupus Erythematosus ◽  
Influenza A ◽  
Immunosuppressive Drugs ◽  
Multiple Infections ◽  
Systemic Lupus ◽  
Suspected Infection ◽  
Global Pandemic ◽  
Chronic Use

AbstractThe coronavirus disease 2019 (COVID-19) has become a global pandemic, which is induced by infection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Patients with systemic lupus erythematosus (SLE) are susceptible to infections due to the chronic use of immunosuppressive drugs and the autoimmune disorders. Now we report a case of SLE infected with SARS-CoV-2, influenza A virus and Mycoplasma pneumoniae concurrently. The patient used hydroxychloroquine and prednisone chronically to control the SLE. After infection of SARS-CoV-2, she was given higher dose of prednisone than before and the same dosage of hydroxychloroquine. Besides, some empirical treatments such as antiviral, antibiotic and immunity regulating therapies were also given. The patient finally recovered from COVID-19. This case indicated that hydroxychloroquine may not be able to fully protect SLE patient form SARS-CoV-2. Intravenous immunoglobulin therapies and increased dose of corticosteroids might be adoptable for patient with both COVID-19 and SLE. Physicians should consider SARS-CoV-2 virus test when SLE patient presented with suspected infection or SLE flare under the epidemic of COVID-19.

Syncope caused by complete heart block and ventricular arrhythmia as early manifestation of systemic lupus erythematosus in a pregnant patient: a case report

Lupus ◽  
2018 ◽  
Vol 27 (10) ◽  
pp. 1729-1731 ◽  
Author(s):  
C H Lo ◽  
J C C Wei ◽  
C F Tsai ◽  
L C Li ◽  
S W Huang ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Ventricular Tachycardia ◽  
Ventricular Arrhythmia ◽  
Clinical Features ◽  
Lupus Erythematosus ◽  
Pregnant Patient ◽  
Polymorphic Ventricular Tachycardia ◽  
Av Block ◽  
Systemic Lupus ◽  
Complete Av Block

Systemic lupus erythematosus (SLE) can affect all heart structures including the conduction system, with either reversible or permanent derangement. However, only a few cases of adult SLE and complete atrioventricular (AV) block have been reported. We describe a young pregnant woman who initially presented with complete AV block on electrocardiography before the diagnosis of SLE. Syncope subsequently developed during the postpartum period due to frequent nonsustained polymorphic ventricular tachycardia, suggesting lupus myocarditis. The ventricular arrhythmia was successfully treated by intravenous corticosteroids, lidocaine and implantation of a permanent pacemaker. This may represent the first report of complete AV block with polymorphic ventricular tachycardia, which was identified before the other clinical features of SLE fully manifested. SLE should be considered if a patient presents with complete AV block without other clinical features. It may warn for early diagnosis and appropriate treatment of SLE including lupus-related heart disease.

Rheumatology

2020 ◽  
pp. 263-306
Author(s):  
Charlotte Frise ◽  
Sally Collins
Keyword(s):  
Rheumatoid Arthritis ◽  
Systemic Lupus Erythematosus ◽  
Systemic Sclerosis ◽  
Psoriatic Arthritis ◽  
Ankylosing Spondylitis ◽  
Lupus Erythematosus ◽  
Pregnant Patient ◽  
Systemic Lupus ◽  
Musculoskeletal Problems ◽  
In Pregnancy

This chapter covers rheumatic diseases in the pregnant patient. It gives background, clinical features, and management in the pregnant patient for rheumatoid arthritis, Sjögren’s syndrome, psoriatic arthritis, systemic lupus erythematosus, antiphospholipid syndrome, and ankylosing spondylitis among others. It also covers systemic sclerosis, osteoporosis, and other musculoskeletal problems. Medications and the use of biologics in pregnancy are also discussed, with reference to breastfeeding.

scholarly journals Vasculitic Neuropathy in a Third Trimester Pregnant Patient with Systemic Lupus Erythematosus

2014 ◽  
Vol 11 (3) ◽  
Author(s):  
Volkan Solmaz ◽  
Dürdane Aksoy ◽  
Betül Çevik ◽  
Semiha Gülsüm Kurt ◽  
Elmas Bektaş ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Lupus Erythematosus ◽  
Pregnant Patient ◽  
Third Trimester ◽  
Systemic Lupus ◽  
Vasculitic Neuropathy

scholarly journals Ventilator Management of Bronchopleural Fistula Secondary to Methicillin-Resistant Staphylococcus aureus Necrotizing Pneumonia in a Pregnant Patient with Systemic Lupus Erythematosus

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Ahmed F. Alohali ◽  
Saleh Abu-Daff ◽  
Kamardeen Alao ◽  
Mohammed Almaani
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Staphylococcus Aureus ◽  
Acute Respiratory Distress Syndrome ◽  
Respiratory Distress Syndrome ◽  
Lupus Erythematosus ◽  
Distress Syndrome ◽  
Bronchopleural Fistula ◽  
Pregnant Patient ◽  
Necrotizing Pneumonia ◽  
Systemic Lupus

Managing mechanical ventilation in patient with bronchopleural fistula with coexisting acute respiratory distress syndrome is a challenging situation for the intensivist. We are reporting a case of a pregnant patient with systemic lupus erythematosus on immunosuppressive medications who developed methicillin-resistant Staphylococcus aureus necrotizing pneumonia complicated by bronchopleural fistula and acute respiratory distress syndrome.

Case report of a pregnant patient with systemic lupus erythematosus with uterine atony and very thin myometrium with uterine fibrosis

2017 ◽  
Vol 137 (2) ◽  
pp. 201-202 ◽  
Author(s):  
Yu Tokushige ◽  
Shuichiro Iwami ◽  
Takafumi Nonogaki ◽  
Takahiro Shibayama ◽  
Toshihide Shimada ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Case Report ◽  
Lupus Erythematosus ◽  
Pregnant Patient ◽  
Uterine Atony ◽  
Systemic Lupus

Successful treatment of severe thrombocytopenia with romiplostim in a pregnant patient with systemic lupus erythematosus

Lupus ◽  
2012 ◽  
Vol 21 (14) ◽  
pp. 1571-1574 ◽  
Author(s):  
JK Alkaabi ◽  
S Alkindi ◽  
N Al Riyami ◽  
F Zia ◽  
LMA Balla ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Successful Treatment ◽  
Lupus Erythematosus ◽  
Pregnant Patient ◽  
Severe Thrombocytopenia ◽  
Systemic Lupus

Cyclosporin A in a pregnant patient affected with systemic lupus erythematosus

1992 ◽  
Vol 12 (2) ◽  
pp. 77-78 ◽  
Author(s):  
A. Doria ◽  
L. Di Lenardo ◽  
S. Vario ◽  
A. Calligaro ◽  
E. Vaccaro ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Cyclosporin A ◽  
Lupus Erythematosus ◽  
Pregnant Patient ◽  
Systemic Lupus
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