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Journal of Midwifery and Reproductive Health، جلد ۹، شماره ۴، صفحات ۳۰۵۰-۳۰۵۴
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عنوان انگلیسی COVID-19 Mimicking Hemolysis, Elevated Liver Enzymes and Low Platelets (HELLP) Syndrome: A Case Report
چکیده انگلیسی مقاله Background & aim: Hemolysis, elevated liver enzymes, and low platelets syndrome (HELLP) was mimicked by several infectious conditions. It is critically important to distinguish these two, since their management and course differs, substantially.Case report: The case was a 27-year-old gravid patient with gestational age of 30 weeks who initially presented with headache and lower limb pain as well as leukopenia (and lymphopenia), normochromic normocytic anemia, thrombocytopenia, abnormal liver enzymes, increased lactate dehydrogenase enzyme and C-reactive protein. The patient was initially managed for HELLP syndrome, but due to the atypical presentation (low blood pressure and an episode of delirium when admitted), the novel coronavirus disease 2019 (COVID-19), real-time reverse transcription polymerase chain reaction (rRT-PCR) was requested for the patient that was positive. The spiral lung high-resolution computed tomography scan revealed changes compatible with COVID-19 diagnosis. Finally, the patient underwent uncomplicated normal vaginal delivery at 39th gestational week.Conclusion: It is important to consider the COVID-19 in differential diagnosis of patients suspected to HELLP syndrome, as the isolation and treatment of the patient is different and time-sensitive.
کلیدواژه‌های انگلیسی مقاله COVID-19, HELLP Syndrom, Overlapping Conditions, pregnancy
نویسندگان مقاله | Helena Azimi
Assistant Professor, Fellowship of Gynecologic Oncology, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran


| Nafiseh Saghafi
Associate professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran


| Fatemeh Tara
Professor, Fellowship of Perinatology,Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran


| Sara Mirzaeian
Assistant professor, Department of Obstetrics and Gynecology, Fellowship of Perinatology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran


| Zahra Hatamian
Resident, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran


| Farzaneh Afshar Delkhah
Resident, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
نشانی اینترنتی https://jmrh.mums.ac.ir/article_18868.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده Case Report
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