There is More (to) Life than COVID-19

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Jaime Oliveira - Corresponding Author

Jaime Oliveira [jaimelroliveira@gmail.com]
Praceta Bernarda Ferreira Lacerda, Nº44 - 1ºB, 4200-601 Paranhos, Porto, Portugal

Ana Rita Cerqueira
Joana Silva Monteiro
Maria Manuel Marques

Abstract

COVID-19 has become the main diagnostic hypothesis in many consultations. This case highlights the need to maintain the holistic approach, characteristic of General Practice/Family Medicine. A 43-year-old woman, with history of adjustment disorder, fibromyalgia and uterine fibroids, usually medicated with: duloxetine; lorazepam; desogestrel. She was evaluated in “ADR-Comunidade” for headache, nausea, dysgeusia, odynophagia, cough, dyspnea, myalgias and asthenia, without fever. She was prescribed test for COVID-19 and recommended isolation. She was contacted within the scope of “Trace COVID-19®”, noting forgetfulness in taking contraceptive and amenorrhea. A pregnancy was considered, which the patient denied. The test for COVID-19 was negative, however, there was a symptomatic worsening that justified referral to emergency department, where an 11-week pregnancy was diagnosed.
COVID-19 mimics several clinical situations. The devaluation of amenorrhea and a directed approach in “ADR” led to diagnostic delay, making voluntary termination of pregnancy impossible although the unwanted pregnancy.

Keywords: COVID-19; Diagnosis, Differential; Pregnancy

Article Details

1.
Oliveira J, Cerqueira AR, Silva Monteiro J, Marques MM. There is More (to) Life than COVID-19. Gaz Med [Internet]. 2022 Jan. 17 [cited 2022 Aug. 10];9(1). Available from: https://www.gazetamedica.pt/index.php/gazeta/article/view/466
Section
CLINICAL CASE