Volume 25, Issue 112, June 2021

Post natal covid-19 induced severe acute respiratory distress syndrome managed with monoclonal antibody and prone ventilation

Dhruva Halani¹, Arpita Jaiswal^2♦, Sunil Kumar³, Dhruv Talwar⁴, Sparsh Madaan¹

¹Post Graduate Resident, Department of Obstetrics and Gynaecology, Jawaharlal Nehru medical college, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India
²Professor, Department of Obstetrics and Gynaecology, Jawaharlal Nehru medical college, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India
³Professor, Department of Medicine, Jawaharlal Nehru medical college, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India
⁴Post Graduate Resident, Department of Medicine , Jawaharlal Nehru medical college, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India

^♦Corresponding author
Professor, Department of Obstetrics and Gynaecology, Jawaharlal Nehru medical college, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India

ABSTRACT

A 28 year old female who primigravida presented with high grade fever and breathlessness since one day with a saturation of 70 percent on room air. She required an urgent Cesarean section. She later tested positive for COVID-19. HRCT Chest showed extensive bilateral ground glass opacity with a CT Severity Score of 23/25 and CORAD 6. In view of raised inflammatory markers was managed with Monoclonal Antibody against Interleukin 6 and Prone Ventilation along with other supportive measures. The patient ultimately recovered thus showcasing the miracle of early administration of monoclonal antibody and the effect of prone ventilation in a case of severe acute respiratory distress syndrome seen in Post Natal Period thus preventing maternal mortality.

Keywords: COVID-19, Monoclonal antibody, prone ventilation

Medical Science, 2021, 25(112), 1427-1431

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