A 34-Year-Old Woman with a Diamniotic Dichorionic Twin Pregnancy Presenting with an Erythematous and Papular Skin Rash Associated with SARS-CoV-2 Infection

Chávez, Liliana Oropeza; Tinajero, Ángel Sánchez; Orozco, José Arturo Martínez; Vargas, Eduardo Becerril; De la Merced, Alfredo Dolores; Santillán, Danna Patricia Ruiz; Cueva, Andrea Iraís Delgado; Peña, Nestor Alvarado

Patient: Female, 34-year-old Final Diagnosis: COVID-19 • Pregnacy Symptoms: Earache • fatigue • odynophagia Medication: — Clinical Procedure: Cesarean Specialty: Infectious Diseases • Microbiology and Virology • Obstetrics and Gynecology OBJECTIVE: Rare co-existance of disease or pathology BACKGROUND: The damage caused by the severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) has been extensive. Pregnant women are a group requiring special attention in medicine given the anatomical and physiological changes that occur during pregnancy. Skin rash is commonly associated with pregnancy, with the most common form of an erythematous maculopapular rash being pruritic urticarial papules and plaques of pregnancy. Skin rash is also an increasingly reported initial presentation in patients with coronavirus disease 2019 (COVID-19), due to infection with SARS-CoV-2. CASE REPORT: A 34-year-old woman with a diamniotic dichorionic twin pregnancy presented with clinical picture characterized by dermatological manifestations, namely an erythematous and papular skin rash associated with SARSCoV-2 infection. A real-time reverse transcription-polymerase chain reaction (GeneFinder) test was positive for SARS-CoV-2 detection. CONCLUSIONS: Ten months after the onset of this pandemic, there is no conclusive evidence indicating that pregnant women represent a sector more or less vulnerable to severe forms of COVID-19 than the general population. This report has highlighted the importance of performing a reliable diagnostic test for SARS-CoV-2 infection in patients who present with a skin rash, particularly pregnant women.