Report on a lactating patient with COVID-19
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CASE REPORT
Report on a lactating patient with COVID‑19 Xuchun Liu1 · Li Zhou2 · Yan Zhu3 Received: 18 February 2020 / Accepted: 22 September 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Case presentation We report the first confirmed case of the novel coronavirus disease (COVID-19) in a lactating patient in Chizhou, Anhui Province, China. The lactating patient presented with intermittent fever for 16 days and cough for 10 days. Given her travel history to the epidemic area and the chest CT scan results, the patient was immediately admitted to the isolation ward of the Infectious Disease Department and breastfeeding was discontinued. Pharyngeal swab specimens tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, previously known as 2019-nCoV) in nucleic acid testing. During hospitalization, she also experienced bilateral breast tenderness. After active treatment, the patient ultimately achieved remission and was discharged from the hospital. Discussion and conclusions SARS-CoV-2 is transmitted mainly through respiratory droplets and patient contact, rendering the general population to a high risk of infection. The management of mother–child interactions and breastfeeding in women with COVID-19 is a difficult problem. The purpose of this case report is to help clinicians by improving the understanding of COVID-19, particularly in lactating patients. Keywords Lactating patient · COVID-19 · Infection
Background
Case presentation
The novel coronavirus disease (COVID-19) caused by the severe acute respiratory syndrome coronavirus-2 (SARSCoV-2) has emerged as a critical public health challenges of the modern age [1, 2]. Until now, reports on lactating patients with COVID-19 are limited. Here, we report the first confirmed case of COVID-19 in a lactating patient in Chizhou, Anhui Province, China; the patient, who was admitted to our hospital, ultimately achieved remission and was discharged. The purpose of this case report is to improve the understanding of the disease for clinicians, with particular emphasis on lactating patients.
The patient was a 37-year-old woman who presented with intermittent fever for 16 days and cough for 10 days. On January 6, 2020, the patient developed fever (body temperature > 39 °C), sore throat, and fatigue while visiting Wuhan. The patient did not take any medication because she was breastfeeding her 6-month-old infant and she felt that her fever improved after resting. On January 12, 2020, the patient started coughing (mainly dry cough). The patient returned to Chizhou from Wuhan on January 19, 2020, and her cough symptoms gradually worsened. On January 22, 2020, she visited the Respiratory Medicine Department at our hospital. As the patient had returned from Wuhan during the COVID-19 epidemic, she was provided with a medical surgical mask for protection. The complete blood count results of the patient were as follows: white blood cells (WBC): 7.36 × 109/L, neutrophils (N): 72.91%, lymphocytes (L): 19.22% (reference range 20
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