Lung ultrasound and computed tomographic findings in pregnant woman with COVID-19

Ultrasound Obstet Gynecol. 2020 Jun;55(6):835-837. doi: 10.1002/uog.22034. Epub 2020 May 5.

Abstract

Imaging modalities play a crucial role in the management of suspected COVID-19 patients. Before reverse transcription polymerase chain reaction (RT-PCR) test results are positive, 60-93% of patients have positive chest computed tomographic (CT) findings consistent with COVID-19. We report a case of positive lung ultrasound findings consistent with COVID-19 in a woman with an initially negative RT-PCR result. The lung ultrasound-imaging findings were present between the negative and subsequent positive RT-PCR tests and correlated with CT findings. The point-of-care lung-ultrasound examination was easy to perform and, as such, could play an important role in the triage of women with suspected COVID-19. The neonatal swabs, cord blood and placental swab RT-PCR tests were negative for SARS-CoV-2, a finding consistent with the published literature suggesting no vertical transmission of this virus in pregnant women. Copyright © 2020 ISUOG. Published by John Wiley & Sons Ltd.

Keywords: COVID-19; SARS-CoV-2; consolidations; lung; pneumonia; pregnancy; tomography; ultrasound.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Adult
  • COVID-19
  • Cesarean Section
  • Computed Tomography Angiography
  • Coronavirus Infections / diagnosis
  • Coronavirus Infections / diagnostic imaging*
  • Coronavirus Infections / therapy
  • Diagnosis, Differential
  • Female
  • Fetal Blood / virology
  • Humans
  • Lung / diagnostic imaging*
  • Milk, Human / virology
  • Pandemics
  • Placenta / virology
  • Pneumonia, Viral / diagnosis
  • Pneumonia, Viral / diagnostic imaging*
  • Pneumonia, Viral / therapy
  • Point-of-Care Testing
  • Pregnancy
  • Pregnancy Complications, Infectious / diagnosis
  • Pregnancy Complications, Infectious / diagnostic imaging*
  • Pregnancy Complications, Infectious / therapy
  • Pulmonary Embolism / diagnosis
  • Reverse Transcriptase Polymerase Chain Reaction
  • Tomography, X-Ray Computed
  • Ultrasonography / methods*