key: cord-1015361-n4quugbp
authors: Gajbhiye, Rahul K.; Mahajan, Niraj N.; Kamath, Neha; Bahirat, Shubhada; Patokar, Gauri; Bhurke, Aishwarya V.; Modi, Deepak N.; Mahale, Smita D.
title: Clinical presentations, pregnancy complications, and maternal outcomes in pregnant women with COVID‐19 and tuberculosis: A retrospective cohort study
date: 2021-02-11
journal: Int J Gynaecol Obstet
DOI: 10.1002/ijgo.13588
sha: 0f6a382a683464af752dafb6f35d3ebd195d3f40
doc_id: 1015361
cord_uid: n4quugbp

Pregnant women with symptomatic COVID‐19 should also be tested for TB in countries with a high burden of TB. The infrastructure of the TB Program can be utilized for the control of COVID‐19, and vice versa.

The authors have no conflicts of interest.

RG and NM were responsible for the study concept and design. SB, GP, NK, and AB contributed to the acquisition of data. All authors contributed to analysis and/or interpretation of data. RG, NM, and NK were responsible for the drafting of the manuscript. RG, NM, SM, DM contributed to critical revision of the manuscript for important intellectual content. RG, NM, and AB were responsible for statistical analysis. SM, RG, and NM were responsible for administrative and technical or material support.

PregCovid study is registered with Clinical Trial Registry of India (Registration no: CTRI/2020/05/025423).

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Pyoperitoneum and puerperal sepsis are life-threatening complications of cesarean delivery. The present study reports minimally invasive management of puerperal sepsis, pyoperitoneum and acute peritonitis in a COVID-19-positive patient.A 25-year-old female developed fever with chills and progressively increasing abdominal pain three days after undergoing cesarean section, followed by vomiting and diarrhea. The patient was diagnosed with COVID-19 infection on postoperative day 7 and referred to our center for further management. Informed written consent was obtained from the patient for this study.The patient was febrile, pulse rate was 120 bpm, BP 96/60 mm Hg, respiratory rate was 30 breaths per minute, and oxygen saturation was 92% on room air. Sub-involution and tenderness of the uterus was observed. A large (20 × 15 cm) abdomino-pelvic cystic mass occupied the right hypochondrium, lumbar, umbilical, and suprapubic regions. The overlying skin was erythematous, tender, with rebound tenderness suggestive of peritonitis. Chest X-ray revealed the typi-