The diagnosis of pneumonia in a pregnant woman with coronavirus disease 2019 using maternal lung ultrasound

Am J Obstet Gynecol. 2020 Jul;223(1):9-11. doi: 10.1016/j.ajog.2020.04.020. Epub 2020 Apr 28.

Abstract

Lung ultrasound examination has been demonstrated to be an accurate imaging method to detect pulmonary and pleural conditions. During pregnancy, there is a need for rapid assessment of the maternal lung in patients with suspected coronavirus disease 2019. We report our experience on lung ultrasound examination in the diagnosis of coronavirus disease 2019 pneumonia in a pregnant woman. Typical ultrasound features of this pulmonary pathology, including diffuse hyperechoic vertical artifacts with thickened pleural line and "white lung" with patchy distribution, were observed. We suggest point-of-care lung ultrasound examination as a diagnostic imaging tool in pregnant women with suspected coronavirus disease 2019.

Keywords: COVID-19; biomarkers; coronavirus; diagnosis; lung ultrasound; pleural effusion; pregnancy; respiratory failure; viral infection.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Betacoronavirus
  • COVID-19
  • COVID-19 Testing
  • Clinical Laboratory Techniques
  • Coronavirus Infections / diagnosis
  • Coronavirus Infections / diagnostic imaging*
  • Female
  • Humans
  • Lung / diagnostic imaging*
  • Pandemics
  • Pneumonia, Viral / diagnostic imaging*
  • Pregnancy
  • Pregnancy Complications, Infectious / diagnostic imaging*
  • Pregnancy Complications, Infectious / virology
  • Radiography, Thoracic
  • SARS-CoV-2
  • Ultrasonography