COVID-19 infection In Pregnancy with Suspected Systemic Lupus Erythematosus
Harvey Alvin H (a*), Maisuri T. Chalid (a), Eddy Tiro (a), Femi Syahriani (b), Irawaty Djaharuddin (c), M Nasrum Massi (d)

a) Department of Obstetric and Gynecology
*alvin18.md[at]gmail.com
b) Department of Internal Medicine
c) Department of Pulmonology and Respiratory Medicine
d) Department of Microbiology
Faculty of Medicine Hasanuddin University, Makassar, Indonesia

Abstract

Background: Most patient with SARS COV2 infection reported had mild to severe respiratory dysfunction with some symptoms, others whom RT PCR test are positive, asymptomatic. SLE is associated with maternal and fetal morbidity in pregnancy.
Case:A 26 years old nulliparous 38 weeks gestational age. Ultrasonography result 3822 grams of fetal weight. Patient had positive result of IgG TORCH, ANA IF, Anti RNP/Sm, Anti Sm and Covid 19 swab test. Based on this laboratory findings, patient was diagnosed as suspect SLE with COVID 19. Caesarean section was performed. The baby was born in good condition. Patient was asymptomatic and hospitalized for 7 days.
Conclusions: Pregnancy in the setting of suspicious of SLE had higher risk of complications for both baby and mother. This case do not show a typical disease course in general Covid 19. This is most likely due to changes in the immune system during pregnancy and high Cycle Treshold.

Keywords: COVID-19, SLE, Pregnancy, ToRCH

Topic: Maternal, neonatal, and child health