ymjЯкутский медицинский журналYakut Medical Journal1813-19052312-1017ЯНЦ КМП10.25789/YMJ.2024.87.27ymj-126Research ArticleСЛУЧАЙ ИЗ ПРАКТИКИCLINICAL CASEКлинический случай тяжелого течения коронавирусной инфекции, осложненной двусторонней внебольничной пневмонией, у беременнойClinical case of severe coronavirus infection complicated by bilateral hospital-acquired pneumonia in a pregnant womanИгнатьеваН. Н.IgnatyevaN. N.

Игнатьева Наталья Николаевна – к.м.н., зав. отд.

Ignatyeva Natalya Nikolaevna – PhD, head of Gynecology Department № 1

natalyaign@mail.ruДугласН. И.DouglasN. I.

Дуглас Наталья Ивановна – д.м.н., доцент, зав. Кафедрой

Douglas Natalya Ivanovna – MD, Head of the Department of Obstetrics and Gynecology Faculty of Postgraduate Training of Doctors

nduglas@yandex.ruСлепцоваС. С.SleptsovaS. S.

Слепцова Снежана Спиридоновна – д.м.н., доцент, зав. Кафедрой

Sleptsova Snezhana Spiridonovna – MD, Professor, Head of the Department of Infectious Diseases, Phthisiology and Dermatovenerology

sssleptsova@yandex.ruДонскаяД. Д.DonskayaD. D.

Донская Данара Даманцыреновна – зам. гл. врача

Donskaya Danara Damantsyrenovna – Deputy Chief Physician for Obstetrics and Gynecology

danara.donskaya.59@mail.ruДьяконоваА. Г.DyakonovaA. G.

Дьяконова Анжелика Григорьевна – зав. отд.

Dyakonova Anzhelika Grigorievna – head of gynecology department № 2

dyakonova_17@mail.ruЗахароваП. Н.ZakharovaP. N.

Захарова Прасковья Николаевна – аспирант

Zakharova Praskovya Nikolayevna – postgraduate student

pucca_95@mail.ruЭверстоваА. В.EverstovaA. V.

Эверстова Алевтина Васильевна – к.м.н., доцент.

Everstova Alevtina Vasilievna – PhD, Associate Professor, Department of Obstetrics and Gynecology Faculty of Postgraduate Training of Doctors

everstovaav@mail.ruЯкутская республ. клинич. б-цаРоссияYakutsk Republican Clinical HospitalRussian FederationМедицин. ин-т Северо-Восточного федеральн. ун-та им. М.К. АммосоваРоссияMedical Institute FSAEI HE M.K. Ammosov North-Eastern Federal University”Russian FederationМедицин. ин-т Северо-Восточного федеральн. ун-та им. М.К. АммосоваРоссияMedical Institute FSAEI HE M.K. Ammosov North-Eastern Federal UniversityRussian Federation20240402202503130132Copyright © Игнатьева Н.Н., Дуглас Н.И., Слепцова С.С., Донская Д.Д., Дьяконова А.Г., Захарова П.Н., Эверстова А.В., 20252025Игнатьева Н.Н., Дуглас Н.И., Слепцова С.С., Донская Д.Д., Дьяконова А.Г., Захарова П.Н., Эверстова А.В.Ignatyeva N.N., Douglas N.I., Sleptsova S.S., Donskaya D.D., Dyakonova A.G., Zakharova P.N., Everstova A.V.This work is licensed under a Creative Commons Attribution 4.0 License.https://ymj.elpub.ru/jour/article/view/126

В статье представлен клинический случай тяжелого течения COVID-19 у беременной женщины. Инфекционный процесс был осложнен двусторонней внебольничной пневмонией.

На фоне прогрессирования дыхательной недостаточности, острого респираторного дистресс-синдрома женщина родоразрешена путем кесарева сечения в экстренном порядке в сроке 39 недель. Родилась живая доношенная девочка, без асфиксии. На 2-е сутки послеоперационного периода у пациентки диагностирован сепсис, поражение паренхимы легких составило 75-100%.

Многокомпонентная терапия, включая рекомбинантные моноклональные антитела к рецептору интерлейкина-6, привела к улучшению состояния

This article presents a clinical case of a severe course of COVID-19 in a pregnant woman. The infectious process was complicated by bilateral out-of-hospital pneumonia.

Against the background of progressing respiratory failure, acute respiratory distress syndrome woman delivered by emergency cesarean section at 39 weeks' gestation. A live, premature baby girl was born, without asphyxia. The patient's condition remained extremely serious. On the 2nd day of the postoperative period sepsis was diagnosed, the lesion of lung parenchyma amounted to 75-100%.

Multicomponent therapy, including recombinant monoclonal antibodies to the interleukin-6 receptor, led to improvement of the condition.

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The authors declare that there are no conflicts of interest present.