PT  - JOURNAL ARTICLE
AU  - Anness, Abigail
AU  - Siddiqui, Farah
TI  - COVID-19 complicated by hepatic dysfunction in a 28-week pregnant woman
AID  - 10.1136/bcr-2020-237007
DP  - 2020 Sep 01
TA  - BMJ Case Reports
PG  - e237007
VI  - 13
IP  - 9
4099  - http://casereports.bmj.com/content/13/9/e237007.short
4100  - http://casereports.bmj.com/content/13/9/e237007.full
SO  - BMJ Case Reports2020 Sep 01; 13
AB  - The COVID-19 outbreak has spread across the globe at an alarming rate. As the pandemic escalates, experience of COVID-19 in pregnant women is accumulating. We present a case of COVID-19 pneumonia in a 28-week pregnant woman with a known low lying placenta. The patient had deranged liver function tests at presentation, along with elevated bile acids. We discuss the differential diagnosis of these findings, and the possible mechanisms of hepatic injury in COVID-19. The low lying placenta in this patient meant that we had to carefully consider the application of recommendations for thromboprophylaxis in pregnant COVID-19 patients. With supportive management, this patient improved enough to be discharged, and has gone on to deliver a healthy neonate at term.