Disseminated intravascular coagulation in a pregnant woman with coronavirus disease 2019 infection: A case report

Abstract

Introduction. Coronavirus infection may cause numerous complications in pregnant women, as well as an increased risk for the fetus. Disseminated intravascular coagulation and other coagulopathies can be caused by coronavirus disease 2019 infection. Case Report. A 22-year-old primigravida presented with a nineday history of dry cough, myalgia, nausea and fever. A nasopharyngeal swab for severe acute respiratory syndrome coronavirus 2 infection was positive. The patient?s condition rapidly deteriorated, resulting in severe liver damage and disseminated intravascular coagulation. Fetal cardiotocography showed a silent curve with late decelerations, while the umbilical artery Doppler showed end-diastolic block, indicating a fetal distress. Emergency cesarean section was performed at 28+5 weeks of gestation. After the cesarean section, the patient was treated with blood derivatives, thromboprophylaxis and supportive therapy and recovered quickly. Unfortunately, the premature infant died three hours after birth. Conclusion. It is very important to simultaneously monitor the parameters of the mother?s coagulation system, as well as the condition of the fetus, because there is a possibility of developing coagulopathies, including disseminated intravascular coagulation.