Non-immunologic hydrops fetalis and coronavirus disease (COVID-19) – A case report

Q4 Medicine Revista Romana de Pediatrie Pub Date : 2021-03-31 DOI:10.37897/rjp.2021.1.14
F. Krasniqi, Edmond Pistulli, Astrit M. Gashi, Isabere Krasniqi
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引用次数: 1

Abstract

Non-immune hydrops fetalis is a severe fetal condition defined as the excessive accumulation of fetal fluid within the fetal extravascular compartments and body cavities. The prevalence of non-immune hydrops fetalis is unknown. Currently, about 90% of cases of hydrops fetalis are non-immune hydrops fetalis. Non-immune hydrops fetalis causes are multi-factorial. The pathophysiological mechanism of non-immunologic hydrops fetalis is related to abnormal fluid transportation between plasma and tissues. This is due to the increase in hydrostatic capillary pressure and capillary permeability and a reduction of the plasma osmotic pressure or lymphatic flow. A variety of viral infection agents have been associated with non-immune hydrops fetalis like parvovirus B19, herpes simplex virus, cytomegalovirus, Toxoplasma gondii, Treponema pallidum, but even other viruses that attack the maternal and fetus during pregnancy cannot be excluded as possible causes of non-immune hydrops fetalis. We present one case of non-immune hydrops fetalis who was diagnosed intra-uterine, three weeks after recovery from Coronavirus disease (COVID-19). After much investigation, we could not find any known factor that may be the cause of non-immunologic hydrops fetalis. Therefore, we predisposed a possible causal connection between nonimmunologic hydrops fetalis and Coronavirus disease (COVID-19).
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非免疫性积水胎儿与冠状病毒病(COVID-19) 1例报告
非免疫性胎儿积水是一种严重的胎儿疾病,定义为胎儿血管外腔室和体腔内胎儿液体的过度积累。非免疫性水肿胎儿的患病率尚不清楚。目前,约90%的胎儿水肿病例是非免疫性水肿胎儿。非免疫性水肿的病因是多因素的。非免疫性积水胎儿的病理生理机制与血浆和组织间异常的液体输送有关。这是由于静水毛细血管压力和毛细血管渗透性的增加和血浆渗透压或淋巴流量的减少。多种病毒感染因子与非免疫性水肿胎儿有关,如细小病毒B19、单纯疱疹病毒、巨细胞病毒、刚地弓形虫、梅毒螺旋体,但即使是在怀孕期间攻击母体和胎儿的其他病毒也不能排除是导致非免疫性水肿胎儿的可能原因。我们报告一例在冠状病毒病(COVID-19)康复后三周被诊断为子宫内的非免疫性积水胎儿。经过大量的调查,我们没有发现任何已知的因素可能是导致非免疫性积水的原因。因此,我们预先确定了非免疫性积水胎儿与冠状病毒病(COVID-19)之间可能的因果关系。
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来源期刊
CiteScore
0.10
自引率
0.00%
发文量
15
审稿时长
4 weeks
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