Liu Xuchun, Zhou Li, Zhu Yan
Department of Respiratory Medicine, Chizhou People's Hospital, Chizhou, 247100, Anhui, China.
Graduate School of Wannan Medical College, Wuhu, 241000, Anhui, China.
Infection. 2021 Jun;49(3):543-547. doi: 10.1007/s15010-020-01532-2. Epub 2020 Oct 9.
We report the first confirmed case of the novel coronavirus disease (COVID-19) in a lactating patient in Chizhou, Anhui Province, China. The lactating patient presented with intermittent fever for 16 days and cough for 10 days. Given her travel history to the epidemic area and the chest CT scan results, the patient was immediately admitted to the isolation ward of the Infectious Disease Department and breastfeeding was discontinued. Pharyngeal swab specimens tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, previously known as 2019-nCoV) in nucleic acid testing. During hospitalization, she also experienced bilateral breast tenderness. After active treatment, the patient ultimately achieved remission and was discharged from the hospital.
SARS-CoV-2 is transmitted mainly through respiratory droplets and patient contact, rendering the general population to a high risk of infection. The management of mother-child interactions and breastfeeding in women with COVID-19 is a difficult problem. The purpose of this case report is to help clinicians by improving the understanding of COVID-19, particularly in lactating patients.
我们报告了中国安徽省池州市一名哺乳期患者确诊新型冠状病毒病(COVID-19)的首例病例。该哺乳期患者出现间歇性发热16天,咳嗽10天。鉴于其前往疫区的旅行史及胸部CT扫描结果,患者立即被收治入感染科隔离病房,并停止母乳喂养。咽拭子标本经核酸检测严重急性呼吸综合征冠状病毒2(SARS-CoV-2,先前称为2019-nCoV)呈阳性。住院期间,她还出现双侧乳房压痛。经过积极治疗,患者最终病情缓解并出院。
SARS-CoV-2主要通过呼吸道飞沫和患者接触传播,使普通人群面临高感染风险。COVID-19女性患者的母婴互动及母乳喂养管理是一个难题。本病例报告的目的是通过提高对COVID-19的认识,尤其是对哺乳期患者的认识,来帮助临床医生。