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Federación Mexicana de Ginecología y Obstetricia, A.C.

2021, Número 08

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Ginecol Obstet Mex 2021; 89 (08)


Combinación de riesgo: COVID-19 y preeclampsia. Serie de casos y revisión bibliográfica

Martínez-González B, Garza-Reséndez N, Contreras-Garza NY, González-Oropeza D

Idioma: Español
Referencias bibliográficas: 35
Paginas: 622-634
Archivo PDF: 222.17 Kb.


RESUMEN

Objetivo: Reportar cuatro casos de pacientes embarazadas infectadas con COVID-19 y, además, preeclampsia que tuvieron evoluciones tórpidas y desenlaces desfavorables. Revisar la bibliografía para conocer la prevalencia de ambas enfermedades y sus similitudes, poder diferenciarlas y evaluar el tratamiento más adecuado.
Materiales y Métodos: Estudio retrospectivo de la bibliografía relacionada con embarazo, COVID-19 y preeclampsia.
Resultados: Se reportaron cuatro casos de pacientes embarazadas, con diagnóstico de infección por COVID-19, con evolución tórpida y complicaciones: eclampsia, accidente cerebrovascular, síndrome de HELLP, lesión renal aguda, coagulación intravascular diseminada, neumonía, muerte de la madre y del feto. Esto evidencia que las mujeres embarazadas con ambas enfermedades pueden resultar con complicaciones severas y riesgo de muerte elevado.
Conclusiones: La coexistencia de preeclampsia y COVID-19 plantea un reto diagnóstico en virtud de que los datos clínicos, de laboratorio y de fisiopatología son similares. A todas las mujeres con embarazo de alto riesgo y a quienes acuden con síntomas sugerentes de preeclampsia debiera hacérseles una prueba de PCR para evitar retrasos en el diagnóstico.


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