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- Title
A presentation of adenovirus with hypokalemia and rhabdomyolysis in pregnancy.
- Authors
Kishkovich, Thomas P; Lu, Connie F; Hardy, Erica J; Russo, Melissa L
- Abstract
Background: Adenovirus infection is usually mild in presentation. However during pregnancy, the course can be more severe. Case: A 21-year-old woman in her second pregnancy presented with abdominal pain, vomiting, and fevers at 34 weeks and 4 days of gestation. Her respiratory pathogen panel on nasopharyngeal secretions was positive for adenovirus. Electrolytes were notable for hypomagnesaemia and persistent hypokalemia (nadir of 2.6 mmol/L) despite repletion but otherwise unremarkable. During her course, she developed rhabdomyolysis. During routine fetal monitoring at 35 weeks and 6 days of gestation, prolonged fetal bradycardia was identified, and an emergency caesarean delivery was performed. The infant had no clinical or laboratory evidence of adenovirus infection. The patient had a protracted clinical course but recovered with supportive care. Conclusion: Adenovirus can present with severe complications in a pregnant woman including hypokalemia and rhabdomyolysis. The mainstay of treatment is supportive care and monitoring of electrolyte abnormalities and renal function.
- Subjects
BRADYCARDIA diagnosis; COMMUNICABLE disease diagnosis; HYPOMAGNESEMIA; RHABDOMYOLYSIS; COMMUNICABLE diseases; FEVER; DNA virus diseases; ADENOVIRUSES; VOMITING; PREGNANCY complications; HYPOKALEMIA; ABDOMINAL pain; CESAREAN section; SYMPTOMS; PREGNANCY; FETUS
- Publication
Obstetric Medicine (1753-495X), 2022, Vol 15, Issue 1, p59
- ISSN
1753-495X
- Publication type
Article
- DOI
10.1177/1753495X20970790