COVID-19 in a complex obstetric patient with cystic fibrosis

Andrew Walczak; Kathryn Wilks; Rebekah Shakhovskoy; Timothy Baird; Sanmarie Schlebusch; Carmel Taylor; David Reid; Keat Choong

doi:10.1016/j.idh.2020.07.002

COVID-19 in a complex obstetric patient with cystic fibrosis

Infect Dis Health. 2020 Nov;25(4):239-241. doi: 10.1016/j.idh.2020.07.002. Epub 2020 Jul 23.

Authors

Andrew Walczak¹, Kathryn Wilks², Rebekah Shakhovskoy³, Timothy Baird⁴, Sanmarie Schlebusch⁵, Carmel Taylor⁶, David Reid⁷, Keat Choong⁸

Affiliations

¹ Infectious Diseases Department, Sunshine Coast University Hospital, Queensland, Australia. Electronic address: andrew.walczak@health.qld.gov.au.
² Infectious Diseases Department, Sunshine Coast University Hospital, Queensland, Australia; University of Queensland, Queensland, Australia; Pathology Queensland, Queensland, Australia.
³ Obstetric Medicine Department, Sunshine Coast University Hospital, Queensland, Australia; University of Sunshine Coast, Queensland, Australia; Griffith University, Queensland, Australia.
⁴ Respiratory Department, Sunshine Coast University Hospital, Queensland, Australia; Sunshine Coast Health Institute, Queensland, Australia.
⁵ University of Queensland, Queensland, Australia; Forensic and Scientific Services, Queensland Health, Queensland, Australia.
⁶ Forensic and Scientific Services, Queensland Health, Queensland, Australia.
⁷ Adult Cystic Fibrosis Centre, The Prince Charles Hospital, Queensland, Australia.
⁸ Infectious Diseases Department, Sunshine Coast University Hospital, Queensland, Australia.

Abstract

We report the first case of COVID-19 in a pregnant patient with cystic fibrosis. We describe the diagnosis, clinical course and management of the patient and their family with regards to clinical, social and infection control measures around delivery. This case highlights the importance of the cooperation of multidisciplinary teams to achieve good clinical outcomes in complex patients with COVID-19.

Keywords: COVID-19; Cystic fibrosis; Pregnancy; SARS-CoV-2.

Publication types

Case Reports

MeSH terms

Adult
Betacoronavirus / isolation & purification
COVID-19
Coronavirus Infections / complications*
Coronavirus Infections / transmission
Cystic Fibrosis / diagnosis
Cystic Fibrosis / virology*
Delivery, Obstetric
Female
Humans
Infectious Disease Transmission, Vertical
Male
Pandemics
Pneumonia, Viral / complications*
Pneumonia, Viral / transmission
Pregnancy
Pregnancy Complications, Infectious / diagnosis
Pregnancy Complications, Infectious / physiopathology
Pregnancy Complications, Infectious / virology*
Pregnancy Outcome
SARS-CoV-2
Transgender Persons