COVID-19感染母亲所生亚临床心肌炎早产儿1例

Y. Ghandi, S. Mehrabi, Mohammadreza Safaei Qomi
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摘要

病例报告:我们报告了一位患有COVID-19的母亲所生的患有亚临床心肌炎的早产新生儿(31周孕龄,体重1700 g)。她的母亲在怀孕期间没有任何症状,并确诊感染了SARS冠状病毒2。分娩四天后,母亲被诊断出感染了COVID-19。新生儿c反应蛋白(CRP)阳性,心脏酶升高,淋巴细胞减少,但实时聚合酶链反应(real-time PCR)阴性。她的亚临床心肌炎给予静脉注射免疫球蛋白(IVIG)和肌力。我们没有在医学治疗中使用抗病毒治疗。新生儿入院后3周出院,超声心动图显示心脏生物标志物、酶水平和心功能正常。两周后的胸部x光检查也正常。
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Premature Neonate With Subclinical Myocarditis Born to a Mother With COVID-19 Infection: A Case Report
Case Report: We reported a premature neonate (31 weeks gestational age, weight 1700 g) with subclinical myocarditis born to a mother with COVID-19. Her mother had no symptoms and confirmed infection with SARS CoV-2 during pregnancy. Four days after delivery, the mother was diagnosed with COVID-19 infection. The neonate had positive C-Reactive Protein (CRP), elevated cardiac enzymes, and lymphopenia but negative real-time Polymerase Chain Reaction assays (real-time PCR). Her subclinical myocarditis was treated with Intravenous Immunoglobulin (IVIG) and inotrope. We did not use antiviral therapy in medical treatment. The neonate was discharged 3 weeks after admission with normal cardiac biomarkers enzyme levels and cardiac function in echocardiography. Her follow-up chest x-ray after two weeks was also normal.
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