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Case Report

Vertical Transmission of SARS-CoV-2 in Second Trimester Associated with Severe Neonatal Pathology

1
National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Healthcare of the Russian Federation, 117997 Moscow, Russia
2
Department of Obstetrics, Gynecology, Neonatology and Reproduction, First Moscow State Medical University Named after I.M. Sechenov, 119991 Moscow, Russia
3
Moscow Institute of Physics and Technology, 141701 Moscow, Russia
4
Jiangxi Key Laboratory for Mass Spectrometry and Instrumentation, East China University of Technology, Nanchang 330013, China
5
Emanuel Institute for Biochemical Physics, Russian Academy of Sciences, 119334 Moscow, Russia
6
Skolkovo Institute of Science and Technology, 121205 Moscow, Russia
*
Author to whom correspondence should be addressed.
Academic Editor: David Baud
Viruses 2021, 13(3), 447; https://doi.org/10.3390/v13030447
Received: 2 February 2021 / Revised: 26 February 2021 / Accepted: 1 March 2021 / Published: 10 March 2021
(This article belongs to the Special Issue Emerging Virus Infections in Adverse Pregnancy Outcomes)
The effects of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection in women on the gestation course and the health of the fetus, particularly in the first and second trimesters, remain very poorly explored. This report describes a case in which the normal development of pregnancy was complicated immediately after the patient had experienced Coronavirus disease 2019 (COVID-19) at the 21st week of gestation. Specific conditions included critical blood flow in the fetal umbilical artery, fetal growth restriction (1st percentile), right ventricular hypertrophy, hydropericardium, echo-characteristics of hypoxic-ischemic brain injury (leukomalacia in periventricular area) and intraventricular hemorrhage at the 25th week of gestation. Premature male neonate delivered at the 26th week of gestation died after 1 day 18 h due to asystole. The results of independent polymerase chain reaction (PCR), mass spectrometry and immunohistochemistry analyses of placenta tissue, umbilical cord blood and child blood jointly indicated vertical transmission of SARS–CoV-2 from mother to the fetus, which we conclude to be the major cause for the development of maternal vascular malperfusion in the studied case. View Full-Text
Keywords: pregnancy; vertical transmission; fetal growth restriction; COVID-19; coronavirus; SARS-CoV-2 pregnancy; vertical transmission; fetal growth restriction; COVID-19; coronavirus; SARS-CoV-2
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MDPI and ACS Style

Sukhikh, G.; Petrova, U.; Prikhodko, A.; Starodubtseva, N.; Chingin, K.; Chen, H.; Bugrova, A.; Kononikhin, A.; Bourmenskaya, O.; Brzhozovskiy, A.; Polushkina, E.; Kulikova, G.; Shchegolev, A.; Trofimov, D.; Frankevich, V.; Nikolaev, E.; Shmakov, R.G. Vertical Transmission of SARS-CoV-2 in Second Trimester Associated with Severe Neonatal Pathology. Viruses 2021, 13, 447. https://doi.org/10.3390/v13030447

AMA Style

Sukhikh G, Petrova U, Prikhodko A, Starodubtseva N, Chingin K, Chen H, Bugrova A, Kononikhin A, Bourmenskaya O, Brzhozovskiy A, Polushkina E, Kulikova G, Shchegolev A, Trofimov D, Frankevich V, Nikolaev E, Shmakov RG. Vertical Transmission of SARS-CoV-2 in Second Trimester Associated with Severe Neonatal Pathology. Viruses. 2021; 13(3):447. https://doi.org/10.3390/v13030447

Chicago/Turabian Style

Sukhikh, Gennady, Ulyana Petrova, Andrey Prikhodko, Natalia Starodubtseva, Konstantin Chingin, Huanwen Chen, Anna Bugrova, Alexey Kononikhin, Olga Bourmenskaya, Alexander Brzhozovskiy, Evgeniya Polushkina, Galina Kulikova, Alexander Shchegolev, Dmitry Trofimov, Vladimir Frankevich, Evgeny Nikolaev, and Roman G. Shmakov. 2021. "Vertical Transmission of SARS-CoV-2 in Second Trimester Associated with Severe Neonatal Pathology" Viruses 13, no. 3: 447. https://doi.org/10.3390/v13030447

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