Case Report: SARS-CoV-2 Mother-to-Child Transmission and Fetal Death Associated With Severe Placental Thromboembolism.

COVID-19 SARS-CoV-2 fetal death mother-to-child transmission placental thromboembolism pregnancy

Journal

Frontiers in medicine
ISSN: 2296-858X
Titre abrégé: Front Med (Lausanne)
Pays: Switzerland
ID NLM: 101648047

Informations de publication

Date de publication:
2021
Historique:
received: 07 03 2021
accepted: 19 07 2021
entrez: 6 9 2021
pubmed: 7 9 2021
medline: 7 9 2021
Statut: epublish

Résumé

SARS-CoV-2 infection during pregnancy is not usually associated with significant adverse effects. However, in this study, we report a fetal death associated with mild COVID-19 in a 34-week-pregnant woman. The virus was detected in the placenta and in an unprecedented way in several fetal tissues. Placental abnormalities (MRI and anatomopathological study) were consistent with intense vascular malperfusion, probably the cause of fetal death. Lung histopathology also showed signs of inflammation, which could have been a contributory factor. Monitoring inflammatory response and coagulation in high-risk pregnant women with COVID-19 may prevent unfavorable outcomes, as shown in this case.

Identifiants

pubmed: 34485327
doi: 10.3389/fmed.2021.677001
pmc: PMC8415358
doi:

Types de publication

Case Reports

Langues

eng

Pagination

677001

Informations de copyright

Copyright © 2021 Marinho, da Cunha, Chimelli, Avvad-Portari, Andreiuolo, de Oliveira-Szejnfeld, Mendes, Gomes, Souza, Guimarães, Goldman, de Oliveira, Rehen, Amim, Tovar-Moll and Prata-Barbosa.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Penélope Saldanha Marinho (PS)

Maternity School, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.

Antonio José Ledo Alves da Cunha (AJLA)

Maternity School, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Department of Pediatrics, D'Or Institute for Research and Education, Rio de Janeiro, Brazil.

Leila Chimelli (L)

Laboratory of Neuropathology, Rio de Janeiro State Brain Institute, Rio de Janeiro, Brazil.

Elyzabeth Avvad-Portari (E)

Department of Pathological Anatomy, Fernandes Figueira Institute, Fiocruz, Rio de Janeiro, Brazil.
School of Medicine, State University of Rio de Janeiro, Rio de Janeiro, Brazil.

Felipe da Matta Andreiuolo (FDM)

Laboratory of Neuropathology, Rio de Janeiro State Brain Institute, Rio de Janeiro, Brazil.

Patrícia Soares de Oliveira-Szejnfeld (PS)

Diagnostic Imaging Department, Escola Paulista de Medicina, School of Medicine, Universidade Federal de São Paulo, São Paulo, Brazil.
Diagnostic Imaging Department, D'Or Institute for Research and Education, Rio de Janeiro, Brazil.

Mayara Abud Mendes (MA)

Stem Cell Laboratory, D'Or Institute for Research and Education, Rio de Janeiro, Brazil.

Ismael Carlos Gomes (IC)

Genetics Department, Institute of Biology, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Anatomic Pathology Service, Jesus Municipal Hospital, Rio de Janeiro, Brazil.

Letícia Rocha Q Souza (LRQ)

Stem Cell Laboratory, D'Or Institute for Research and Education, Rio de Janeiro, Brazil.

Marilia Zaluar Guimarães (MZ)

Stem Cell Laboratory, D'Or Institute for Research and Education, Rio de Janeiro, Brazil.
Department of Phamacology, Institute of Biomedical Sciences, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.

Suzan Menasce Goldman (SM)

Diagnostic Imaging Department, Escola Paulista de Medicina, School of Medicine, Universidade Federal de São Paulo, São Paulo, Brazil.

Mariana Barros Genuíno de Oliveira (MBG)

Department of Pediatrics, D'Or Institute for Research and Education, Rio de Janeiro, Brazil.

Stevens Rehen (S)

Diagnostic Imaging Department, D'Or Institute for Research and Education, Rio de Janeiro, Brazil.
Stem Cell Laboratory, D'Or Institute for Research and Education, Rio de Janeiro, Brazil.

Joffre Amim (J)

Maternity School, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.

Fernanda Tovar-Moll (F)

Diagnostic Imaging Department, Escola Paulista de Medicina, School of Medicine, Universidade Federal de São Paulo, São Paulo, Brazil.
Diagnostic Imaging Department, D'Or Institute for Research and Education, Rio de Janeiro, Brazil.

Arnaldo Prata-Barbosa (A)

Maternity School, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Department of Pediatrics, D'Or Institute for Research and Education, Rio de Janeiro, Brazil.

Classifications MeSH