一名患有重症肌无力的妊娠囊性纤维化携带者的 COVID-19：病例报告。
COVID-19 in a pregnant cystic fibrosis carrier with myasthenia gravis: A case report.
作者信息
Coté John J, Granger Peter, Mishra Anjali, Sorini Giavanna
机构信息
Obstetrics and Gynecology, Creighton University School of Medicine, Omaha, NE, USA.
PA Program, University of Texas Medical Branch at Galveston School of Medicine, Galveston, TX, USA.
出版信息
Case Rep Womens Health. 2022 Apr;34:e00406. doi: 10.1016/j.crwh.2022.e00406. Epub 2022 Mar 23.
Abstract
A 16-year-old primigravida was diagnosed with COVID-19 in her second trimester. She decompensated quickly and had to be admitted to hospital and intubated. She was diagnosed with a fetal demise after being intubated and neurology suspected myasthenia gravis due to neurologic symptoms. Due to pan-sinusitis and increased mucus secretion, cystic fibrosis screening was ordered. After she was extubated, cervical ripening and induction was performed with eventual vaginal delivery without maternal complications. Myasthenia gravis and cystic fibrosis carrier status were confirmed after the patient was discharged.
摘要
一名16岁的初产妇在孕中期被诊断为新冠病毒肺炎。她病情迅速恶化，不得不入院并接受插管治疗。插管后她被诊断为胎儿死亡，由于出现神经症状，神经科怀疑为重症肌无力。由于全鼻窦炎和黏液分泌增加，于是安排了囊性纤维化筛查。拔管后，进行了宫颈成熟和引产，最终经阴道分娩，产妇未出现并发症。患者出院后，重症肌无力和囊性纤维化携带者状态得到确诊。
相似文献
1
COVID-19 in a pregnant cystic fibrosis carrier with myasthenia gravis: A case report.一名患有重症肌无力的妊娠囊性纤维化携带者的 COVID-19：病例报告。
Case Rep Womens Health. 2022 Apr;34:e00406. doi: 10.1016/j.crwh.2022.e00406. Epub 2022 Mar 23.
2
Myasthenia Gravis with Anti-Muscle-Specific Tyrosine Kinase Antibody during Pregnancy and Risk of Neonatal Myasthenia Gravis: A Case Report and Review of the Literature.妊娠合并抗肌肉特异性酪氨酸激酶抗体重症肌无力及新生儿重症肌无力风险：1例病例报告并文献复习
Case Rep Neurol. 2020 Mar 17;12(1):114-120. doi: 10.1159/000506189. eCollection 2020 Jan-Apr.
3
Pregnancy with myasthenia gravis.合并重症肌无力的妊娠
Mymensingh Med J. 2014 Apr;23(2):395-400.
4
Exacerbation of a case of myasthenia gravis during therapeutic electric stimulation.治疗性电刺激期间重症肌无力病例的病情加重。
Arch Phys Med Rehabil. 1987 Sep;68(9):568-70.
5
Transient neonatal myasthenia gravis due to a mother with ocular onset of anti-muscle specific kinase myasthenia gravis.一名患有眼肌型抗肌肉特异性激酶重症肌无力的母亲所导致的短暂性新生儿重症肌无力。
Neuromuscul Disord. 2017 Jul;27(7):655-657. doi: 10.1016/j.nmd.2017.03.012. Epub 2017 Apr 4.
6
[Successful use of sugammadex for caesarean section in a patient with myasthenia gravis].[舒更葡糖钠在重症肌无力患者剖宫产术中的成功应用]
Rev Bras Anestesiol. 2017 Mar-Apr;67(2):221-222. doi: 10.1016/j.bjan.2016.12.011. Epub 2017 Jan 10.
7
Successful use of sugammadex for caesarean section in a patient with myasthenia gravis.舒更葡糖钠在一名重症肌无力患者剖宫产术中的成功应用。
Braz J Anesthesiol. 2017 Mar-Apr;67(2):221-222. doi: 10.1016/j.bjane.2014.08.008. Epub 2014 Nov 22.
8
[A pregnant patient with anti-MuSK antibody positive myasthenia gravis and her infant with transient neonatal myasthenia gravis].[一名抗肌肉特异性激酶（MuSK）抗体阳性的重症肌无力孕妇及其患有短暂性新生儿重症肌无力的婴儿]
Rinsho Shinkeigaku. 2011 Mar;51(3):188-91. doi: 10.5692/clinicalneurol.51.188.
9
Vaginal delivery in women with COVID-19: report of two cases.COVID-19 产妇经阴道分娩：2 例报告。
BMC Pregnancy Childbirth. 2020 Oct 2;20(1):580. doi: 10.1186/s12884-020-03281-4.
10
Transcervical excision of thymoma and video-assisted thoracoscopic extended thymectomy (VATET) for ectopic cervical thymoma with myasthenia gravis: report of a case.经宫颈切除胸腺瘤及电视辅助胸腔镜扩大胸腺切除术（VATET）治疗伴重症肌无力的异位颈部胸腺瘤：病例报告
Gen Thorac Cardiovasc Surg. 2016 Dec;64(12):752-754. doi: 10.1007/s11748-015-0582-3. Epub 2015 Sep 3.
引用本文的文献
1
Epidemiological Profile of Hospitalized Patients with Cystic Fibrosis in Brazil Due to Severe Acute Respiratory Infection during the COVID-19 Pandemic and a Systematic Review of Worldwide COVID-19 in Those with Cystic Fibrosis.巴西新冠疫情期间因严重急性呼吸道感染住院的囊性纤维化患者的流行病学概况及全球囊性纤维化患者新冠感染情况的系统评价
Healthcare (Basel). 2023 Jul 4;11(13):1936. doi: 10.3390/healthcare11131936.
2
Gain- and Loss-of-Function Alleles Are Associated with COVID-19 Clinical Outcomes.功能获得和功能丧失等位基因与 COVID-19 临床结局相关。
Cells. 2022 Dec 16;11(24):4096. doi: 10.3390/cells11244096.
本文引用的文献
1
Characteristics, treatment, and outcomes of Myasthenia Gravis in COVID-19 patients: A systematic review.COVID-19 患者中重症肌无力的特征、治疗和结局：一项系统评价。
Clin Neurol Neurosurg. 2022 Feb;213:107140. doi: 10.1016/j.clineuro.2022.107140. Epub 2022 Jan 22.
2
Risk for Stillbirth Among Women With and Without COVID-19 at Delivery Hospitalization - United States, March 2020-September 2021.COVID-19 住院分娩的孕妇与非 COVID-19 住院分娩的孕妇发生死胎的风险-美国，2020 年 3 月至 2021 年 9 月。
MMWR Morb Mortal Wkly Rep. 2021 Nov 26;70(47):1640-1645. doi: 10.15585/mmwr.mm7047e1.
3
COVID-19 outcomes in people with cystic fibrosis.囊性纤维化患者的 COVID-19 结局。
Curr Opin Pulm Med. 2021 Nov 1;27(6):538-543. doi: 10.1097/MCP.0000000000000823.
4
Myasthenia gravis and covid-19 in pregnancy: a review of the literature and case series report.重症肌无力与妊娠期新冠病毒感染：文献复习和病例系列报告。
J Matern Fetal Neonatal Med. 2022 Dec;35(25):8308-8316. doi: 10.1080/14767058.2021.1973418. Epub 2021 Sep 28.
5
Challenging the dogma of the healthy heterozygote: Implications for newborn screening policies and practices.挑战健康杂合子的教条：对新生儿筛查政策和实践的影响。
Mol Genet Metab. 2021 Sep-Oct;134(1-2):8-19. doi: 10.1016/j.ymgme.2021.08.008. Epub 2021 Aug 21.
6
SARS-CoV-2 infection during pregnancy and risk of preeclampsia: a systematic review and meta-analysis.孕期感染严重急性呼吸综合征冠状病毒2与子痫前期风险：一项系统评价和荟萃分析。
Am J Obstet Gynecol. 2022 Jan;226(1):68-89.e3. doi: 10.1016/j.ajog.2021.07.009. Epub 2021 Jul 21.
7
A systematic review and meta-analysis of data on pregnant women with confirmed COVID-19: Clinical presentation, and pregnancy and perinatal outcomes based on COVID-19 severity.一项基于 COVID-19 严重程度的对确诊 COVID-19 孕妇数据的系统评价和荟萃分析：临床表现、妊娠和围产结局。
J Glob Health. 2021 Jun 30;11:05018. doi: 10.7189/jogh.11.05018.
8
Severe COVID-19 in Hospitalized Carriers of Single Pathogenic Variants.携带单一病原变体的住院患者中的重症新冠肺炎
J Pers Med. 2021 Jun 15;11(6):558. doi: 10.3390/jpm11060558.
9
Maternal and Neonatal Morbidity and Mortality Among Pregnant Women With and Without COVID-19 Infection: The INTERCOVID Multinational Cohort Study.孕妇合并与不合并 COVID-19 感染的母婴发病率和死亡率：INTERCOVID 多国队列研究。
JAMA Pediatr. 2021 Aug 1;175(8):817-826. doi: 10.1001/jamapediatrics.2021.1050.
10
Gestational Hypertension and Preeclampsia: ACOG Practice Bulletin, Number 222.妊娠期高血压与子痫前期：美国妇产科医师学会实践通报，第 222 号。
Obstet Gynecol. 2020 Jun;135(6):e237-e260. doi: 10.1097/AOG.0000000000003891.
Zotero 插件