CC BY-NC-ND 4.0 · AJP Rep 2022; 12(01): e33-e35
DOI: 10.1055/s-0041-1742237
Case Report

COVID-19-Associated Coagulopathy in the Peripartum Setting: A Case Report

Ashley Allen
1   Department of Obstetrics and Gynecology, John Peter Smith Hospital, Fort Worth, Texas
,
Christine Hoang
1   Department of Obstetrics and Gynecology, John Peter Smith Hospital, Fort Worth, Texas
,
Roopina Sangha
1   Department of Obstetrics and Gynecology, John Peter Smith Hospital, Fort Worth, Texas
› Author Affiliations

Abstract

Sepsis-induced coagulopathy (SIC) scoring and D-dimer can be used to recognize COVID-19-induced coagulopathy, but the utility of these is largely unknown in the peripartum setting and leaves anticoagulation guidance unclear. We present the case of a critically ill postpartum patient with COVID-19 infection. This patient presented with clinical signs of COVID-19 infection and developed acute respiratory failure requiring invasive mechanical ventilation and subsequent cesarean delivery at 34 weeks. She initially improved postoperatively but deteriorated after postoperative day 5. She was found to have a very elevated D-dimer of 58 μg/mL and anticoagulation was escalated to full dosing. She required prolonged mechanical ventilation and deceased after developing gram-positive cocci bacteremia. This case demonstrates that recognition and management of COVID-19-associated coagulopathy can be confusing in the peripartum period and studies are needed to validate D-dimer and SIC scoring in this population of patients.



Publication History

Received: 23 September 2020

Accepted: 08 October 2021

Article published online:
04 February 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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