A pregnant mother infected with SARS-COV-۲ with substance dependence, a Case report

Background: In December ۲۰۱۹, the novel coronavirus disease (COVID-۱۹) caused by SARS-CoV-۲ emerged in China, and now it has spread all over the world. Pregnant women are a susceptible population, but there is scant information about COVID-۱۹ in this population. Here, we report a case of a mother with substance use disorders that infected with COVID-۱۹ in her pregnancy. Case: The patient was a ۲۹ YO, primigravida pregnant mother at the ۳۷th gestational week, who was referred to our center because of vaginal bleeding and severe uterine contractions. The patient was abusing opioids. With the suspicion of placental abruption, she was admitted for the cesarean section. One day after delivery, she developed dyspnea, rhinorrhea, and vomiting. These were thought of as withdrawal signs. Despite methadone administration, these signs were persisted. After ruling out deprivation syndrome and possible obstetrics causes, a SARS-COV-۲ PCR test was ordered; the result was positive.Conclusion: In this case, because of the flu-like symptoms of substance withdrawal, and postpartum causes of shortness of breath, the medical team's attention was drawn to these causes. SARS-CoV-۲ infection should be considered as a differential diagnosis for these patients.

کلیدواژه ها:

Opioid withdrawal ، COVID-۱۹ ، Pregnancy ، Case Report