An early study mentioned that the mean time from onset to ICUadmission and mechanical ventilation was about 10.5 days [13].However, unfortunately, a rapid progression to consolidative opacitiesand pleural effusion occurred in our patient that only took 30 h. Due tothe worsening of results from clinical and imaging findings, it seemsthat the patient could be considered a “radiographic deterioration” asShi et al. have presented [9]. Some studies have mentioned pleuraleffusion as a pertinent negative finding [12]; although, in some otherstudies, trace amounts or mild pleural effusion in the course of thedisease has been noted in some patients [9,14,15]. Our patient, on theother hand, had moderate amount of pleural effusion which could havebeen attributed to the worsening of pulmonary involvement. Regardingthe released radiologic findings on COVID-19 by the time our patientexhibited (especially about the presence of pleural effusion) and consideringher fever, thrombocytopenia, proteinuria, suspicious bloodymucosal secretions, it was not easy to rule out serositis as one of thecriteria of the collagen vascular disease for our internal team.An early study has evaluated the outcome of nine pregnant patientswith COVID-19 without any specific underlying diagnosed diseases (allgestational ages ≥36 weeks). Among them, 78%, 44%, 33% and 11%had fever (on admission), cough, myalgia, and dyspnea, respectively.Our patient on the other hand, presented all these symptoms at thesame time. In laboratory investigations, they found that none of theirpatients had leukopenia while 56% of them had only lymphopenia(< 10⁹ cells/L). Also, elevated CRP, aspartate aminotransferase (AST)/alanine aminotransferase (ALT), and positive RT-PCR for SARS-CoV-2were observed in 75%, 33%, and 100%, respectively. No IUFD, stillbirth,severe neonatal asphyxia or maternal mortality was observed.However, in neonatal outcomes, 44% and 22% were preterm and hadlow birthweight, respectively. Among the nine reported cases, 89% ofthem had typical signs of viral infection and only one presented “rightsidedsubpleural patchy consolidation”. This patient was a 29-year-oldwoman in her 36 week of gestation with fever, caught, and myalgia forthree days. In the laboratory tests, she had leukocytosis and lymphopeniaat the same time. Also, her CRP level was stated to be missingdata. She underwent a C-section and this premature delivery led to abirthweight of 2460 gr (low birthweight) [6].Another study evaluated 13 pregnant patients (two cases
An early study mentioned that the mean time from onset to ICU<br>admission and mechanical ventilation was about 10.5 days [13].<br>However, unfortunately, a rapid progression to consolidative opacities<br>and pleural effusion occurred in our patient that only took 30 h. Due to<br>the worsening of results from clinical and imaging findings, it seems<br>that the patient could be considered a “radiographic deterioration” as<br>Shi et al. have presented [9]. Some studies have mentioned pleural<br>effusion as a pertinent negative finding [12]; although, in some other<br>studies, trace amounts or mild pleural effusion in the course of the<br>disease has been noted in some patients [9,14,15]. Our patient, on the<br>other hand, had moderate amount of pleural effusion which could have<br>been attributed to the worsening of pulmonary involvement. Regarding<br>the released radiologic findings on COVID-19 by the time our patient<br>exhibited (especially about the presence of pleural effusion) and considering<br>her fever, thrombocytopenia, proteinuria, suspicious bloody<br>mucosal secretions, it was not easy to rule out serositis as one of the<br>criteria of the collagen vascular disease for our internal team.<br>An early study has evaluated the outcome of nine pregnant patients<br>with COVID-19 without any specific underlying diagnosed diseases (all<br>gestational ages ≥36 weeks). Among them, 78%, 44%, 33% and 11%<br>had fever (on admission), cough, myalgia, and dyspnea, respectively.<br>Our patient on the other hand, presented all these symptoms at the<br>same time. In laboratory investigations, they found that none of their<br>patients had leukopenia while 56% of them had only lymphopenia<br>(< 10⁹ cells/L). Also, elevated CRP, aspartate aminotransferase (AST)/<br>alanine aminotransferase (ALT), and positive RT-PCR for SARS-CoV-2<br>were observed in 75%, 33%, and 100%, respectively. No IUFD, stillbirth,<br>severe neonatal asphyxia or maternal mortality was observed.<br>However, in neonatal outcomes, 44% and 22% were preterm and had<br>low birthweight, respectively. Among the nine reported cases, 89% of<br>them had typical signs of viral infection and only one presented “rightsided<br>subpleural patchy consolidation”. This patient was a 29-year-old<br>woman in her 36 week of gestation with fever, caught, and myalgia for<br>three days. In the laboratory tests, she had leukocytosis and lymphopenia<br>at the same time. Also, her CRP level was stated to be missing<br>data. She underwent a C-section and this premature delivery led to a<br>birthweight of 2460 gr (low birthweight) [6].<br>Another study evaluated 13 pregnant patients (two cases
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