Preeclampsia-Like Syndrome in a Pregnant Patient With Coronavirus Disease 2019 (COVID-19)

Amir Naeh1, Alexandra Berezowsky1, Mark H Yudin1

  • 1Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, St. Michael's Hospital, Toronto, ON.

Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|October 14, 2021
PubMed

Insights

Coronavirus disease 2019 (COVID-19) in pregnancy can mimic preeclampsia, presenting with hypertension and organ dysfunction. Placental growth factor (PlGF) testing helps distinguish between these conditions for effective management.

Area of Science:

  • Obstetrics and Gynecology
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • Coronavirus disease 2019 (COVID-19) can manifest with hypertension, proteinuria, and hepatic dysfunction, mirroring symptoms of preeclampsia in pregnant individuals.
  • Differentiating between COVID-19 and preeclampsia is crucial due to their overlapping clinical presentations and implications for maternal and fetal outcomes.

Observation:

  • A case study involving an otherwise healthy pregnant patient experiencing COVID-19 infection.
  • The patient presented with secondary hypertension, proteinuria, and significant hepatic dysfunction, complicating the clinical picture.

Findings:

  • Maternal placental growth factor (PlGF) testing was instrumental in ruling out preeclampsia.
  • The patient received supportive care and demonstrated significant clinical improvement.
  • The patient successfully delivered a healthy male infant via spontaneous vaginal term delivery.

Implications:

  • COVID-19 infection during pregnancy can present as a preeclampsia-like syndrome, posing diagnostic challenges.
  • Placental growth factor (PlGF) testing serves as a valuable tool to differentiate preeclampsia from COVID-19.
  • Accurate differentiation facilitates timely and appropriate management strategies for pregnant patients with COVID-19.
Abstract

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