Marlene Smithson, a 31-year-old pregnant female, G1 P0, at 28 weeks, 5 days gestation, developed a cough with expectoration on March 26, 2022.

Patient: Marlene Smithson

Physician: Jason Nuouri, MD

July 16, 2021

CASE STUDY 10: Marlene Smithson

Marlene Smithson, a 31-year-old pregnant female, G1 P0, at 28 weeks, 5 days gestation, developed a cough with expectoration on March 26, 2022. On March 27, she developed a fever, with her body temperature fluctuating between 99 F and 101 F. She was admitted to the hospital with common pneumonia and treated with oral cephalosporin for 3 days. Her pulmonary computed tomography (CT) scan on March 30, 2022 (29 weeks, 2 days gestation) showed scattered consolidation and ground-glass shadow of both lungs. In addition, the routine blood test results showed that her white blood cell count was extraordinarily high. She tested negative for influenza A and B virus antigens, Mycoplasma pneumoniae, and Chlamydia pneumoniae.

Based on the criteria of COVID-19 pneumonia in the New Coronavirus Prevention and Control Program (5th edition) dated February 3, 2022, she was diagnosed as a clinically confirmed case, so quarantine treatment including nebulized inhalation and oral cephalosporin could begin. Five days later (30-weeks gestation), patient’s body temperature returned to normal and the symptoms, including cough and expectoration, disappeared. Subsequently, the pharyngeal swab test of SARS-CoV-2 revealed twice negative on April 5 and April 7, 2022.

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