Case presentation A 39-year-old G5P1 pregnant woman (26 weeks of gestation) presented with worsening dyspnea and cough. The symptoms had started five days ago. Initial examination Afebrile Blood pressure – 152/132 mm Hg Heart rate – 141 beats/min Respiratory rate – 20/min Oxygen saturation – 96% COVID-19 test – Positive Electrocardiogram – Sinus tachycardia CT pulmonary angiogram Pulmonary embolus – Negative Patchy multifocal opacities Obstetric ultrasound – A normal and active baby Laboratory examination AST – 1154 U/L ALT – 864 U/L Hemoglobin – 85 g/L Lactate dehydrogenase (LDH) – 1018 U/L Albumin-creatine ratio – 9.5 A multidisciplinary team of experts in general medicine, infectious disease, and maternal-fetal medicine discussed the possibility of preeclampsia in the patient.
They suggested a test to rule out preeclampsia. Reference : Journal of Obstetrics and Gynaecology Canada
