A Pregnant Woman with a Diagnosis of COVID-19 without Clinical Manifestations: A Case Report:

Abstract

A 41 year old woman, 38 weeks and 3 days pregnant, without any past medical history and gravida (G) 4, parity (P) 2 and abortion (Ab) 2, gave birth by Cesarean section. The patient did not have any fever, cough, and dyspnea and did not report any close contact with COVID-19 patients. She was extubated post-surgery in the recovery room. She had oxygen saturation (SpO2) of 87-93% with face mask and was transferred to medical ward. Six hours later, she experienced dyspnea and her SpO2 fell down to 83%. Ten hours after surgery, due to worsening of her dyspnea and SpO2 of 78%, cardiology consultation was conducted and patient was admitted to the intensive care unit (ICU) with the diagnosis of pulmonary thromboembolism (PTE). Cardiac consultation and echocardiography excluded PTE. In the ICU, her chest computerized tomography scan (CT-scan) showed bilateral ground glass opacity in favor of COVID-19. Reverse Transcription-Polymerase Chain Reaction (RT-PCR) for COVID-19 was also positive. The baby was born with an Apgar score of 9, a normal physical examination and a positive PCR test for COVID-19.