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Background: In December 2019, the novel coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) 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-19 in this population. Here, we report a case of a mother with substance use disorders who was infected with COVID-19 in her pregnancy.

Case: The patient was a 29-year-old, primigravida mother at the 37th 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 cesarean section. One day after delivery, she developed dyspnea, rhinorrhea, and vomiting. These were thought of as withdrawal signs. Despite methadone administration, these signs persisted. After ruling out deprivation syndrome and possible obstetric causes, a SARS-CoV-2 Polymerase chain reaction (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-2 infection should be considered as a differential diagnosis for these patients.

Competing Interests: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the article.

Titel:	A Pregnant Mother Infected With Severe Acute Respiratory Syndrome Coronavirus 2 With Substance Dependence: A Case Report.
Autor/in / Beteiligte Person:	Nagdi Dorabati, P ; Khoshnam Rad, M ; Hedayat Yaghoobi, M ; Mahmoodi, Z
Zeitschrift:	Journal of addictions nursing, Jg. 32 (2021-10-01), Heft 4, S. 260-262
Veröffentlichung:	2013- : Philadelphia, Pa : Lippincott Williams & Wilkins ; <i>Original Publication</i>: Larchmont, NY : Mary Ann Liebert, Inc.,, 2021
Medientyp:	academicJournal
ISSN:	1548-7148 (electronic)
DOI:	10.1097/JAN.0000000000000437
Schlagwort:	Adult Cesarean Section Female Humans Mothers Placenta Pregnancy SARS-CoV-2 COVID-19 Substance-Related Disorders complications
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Case Reports; Journal Article Language: English [J Addict Nurs] 2021 Oct-Dec 01; Vol. 32 (4), pp. 260-262. MeSH Terms: COVID-19* ; Substance-Related Disorders* / complications ; Adult ; Cesarean Section ; Female ; Humans ; Mothers ; Placenta ; Pregnancy ; SARS-CoV-2 References: Berghella V., Lim P. J., Hill M. K., Cherpes J., Chennat J., Kaltenbach K. (2003). Maternal methadone dose and neonatal withdrawal. American Journal of Obstetrics and Gynecology, 189(2), 312–317. https://doi.org/10.1067/S0002-9378(03)00520-9. (PMID: 10.1067/S0002-9378(03)00520-9) ; Chen H., Guo J., Wang C., Luo F., Yu X., Zhang W., Li J., Zhao D., Xu D., Gong Q., Liao J., Yang H., Hou W., Zhang Y. (2020). Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: A retrospective review of medical records. The Lancet, 395, 809–815 https://doi.org/10.1016/S0140-6736(20)30360-3. 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Ultrasound in Obstetrics & Gynecology, 55, 435–437. https://doi.org/10.1002/uog.22006. (PMID: 10.1002/uog.22006) Entry Date(s): Date Created: 20211202 Date Completed: 20211206 Latest Revision: 20211214 Update Code: 20231215

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A Pregnant Mother Infected With Severe Acute Respiratory Syndrome Coronavirus 2 With Substance Dependence: A Case Report.