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Post-partum Coronavirus Disease 19 Like Pneumonia Before the COVID-19 Italian Pandemic Outbreak: A Case Report

Authors
  • Busnelli, Andrea1, 2
  • Bulfoni, Alessandro3
  • Caprotti, Andrea4
  • Acerboni, Stefano3
  • Levi-Setti, Paolo Emanuele2
  • 1 Department of Biomedical Sciences, Humanitas University, Milan , (Italy)
  • 2 Division of Gynecology and Reproductive Medicine, Department of Gynecology, Fertility Center, IRCCS Humanitas Research Hospital, Milan , (Italy)
  • 3 Division of Obstetrics and Gynecology, IRCCS Humanitas Research Hospital, Humanitas S. Pio X Hospital, Milan , (Italy)
  • 4 Division of Radiology, IRCCS Humanitas Research Hospital, Humanitas S. Pio X Hospital, Milan , (Italy)
Type
Published Article
Journal
Frontiers in Medicine
Publisher
Frontiers Media SA
Publication Date
May 11, 2021
Volume
8
Identifiers
DOI: 10.3389/fmed.2021.576865
Source
Frontiers
Keywords
Disciplines
  • Medicine
  • Case Report
License
Green

Abstract

Here we present a case of severe post-partum pneumonia that we observed at the end of January 2020. Specimen of blood was cultured and revealed Klebsiella pneumoniae bacteremia. However, the course of infection was atypical and the recovery time particularly long. Subsequently emerged COVID-19 hallmarks suggested to re-evaluate the case. After a multidisciplinary consultation, we concluded that, considering the clinical and imaging characteristics, the most likely hypothesis was that the patient was affected by novel Coronavirus pneumonia. The present case supports the hypothesis that Coronavirus might have circulated in northern Italy for weeks before its official detection.

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