Leptospirosis in COVID-19 Positive Pregnancy: A Rare Case Report Mimicking Hellp Syndrome
نویسندگان
چکیده
Leptospirosis in pregnancy is often underdiagnosed and not commonly reported due to its unusual appearance rarity. It looks like HELLP syndrome, obstetric cholestasis, viral hepatitis & pregnancy-related acute fatty liver. Miscarriages the first trimester, stillbirths, neonatal leptospirosis are serious complications that necessitate a high degree of concern, heightened sensitivity, prompt diagnosis treatment. We have one such incidence COVID-19 positive pregnant female. A 21-year-old Primigravida with predisposition anaemia thrombocytopenia, presented fever, haematemesis, malena sore throat at 38 weeks 2 days gestation, during pandemic. She had pallor, oedema, haematuria on catheterization, rest all investigations were within normal limits. Proteinuria, haemolysis, low platelets, elevated bilirubin discovered investigation. Due lack hypertension transaminases, working was atypical platelets (HELLP) syndrome. The patient tested for RT-PCR, came out be fever spikes continued, leading further Dengue, Malaria, Scrub Typhus, ongoing Covid-19 After EIA (Enzyme Immunoassay) IgM antibody (confirmatory Leptospirosis) Leptospirosis, decision start Doxycycline made. Meanwhile, patient's CTG (Cardio tocograph) revealed signs foetal distress, an emergency LSCS taken (Lower Segment Caesarean Section). histology placenta after section findings. initiated feeding regimen acceptable. On day two life, newborn no indications inherited removed from Neonatal Intensive Care. Within week, symptoms disappeared, her biochemistry went back weeks.
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ژورنال
عنوان ژورنال: Journal of pharmaceutical research international
سال: 2021
ISSN: ['2456-9119']
DOI: https://doi.org/10.9734/jpri/2021/v33i43b32567