CC BY-NC-ND 4.0 · AJP Rep 2020; 10(03): e270-e274
DOI: 10.1055/s-0040-1715177
Case Report

In Utero Vertical Transmission of Coronavirus Disease 2019 in a Severely Ill 29-week Preterm Infant

1   Division of Neonatology, Department of Pediatrics, NYCH + H/Metropolitan Hospital Center, New York City, New York
,
Yogangi Malhotra
2   Division of Neonatology, Lewis M Fraad Department of Pediatrics, NYCH + H/Jacobi Medical Center, New York City, New York
,
Uday Patil
3   Division of Neonatology, Department of Pediatrics, NYCH + H/Elmhurst Hospital Center, New York City, New York
,
Ana R. Muradas
1   Division of Neonatology, Department of Pediatrics, NYCH + H/Metropolitan Hospital Center, New York City, New York
,
William T. Lee
4   Diagnostic Immunology Laboratory Wadsworth Center, New York State Department of Health David Axelrod Institute for Public Health, Albany, New York
,
Florian Krammer
5   Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York City, New York
,
Fatima Amanat
5   Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York City, New York
,
6   Department of Obstetrics and Gynecology, New York Medical College, NYCH + H/Metropolitan Hospital Center, New York City, New York
,
Suja Vinod
1   Division of Neonatology, Department of Pediatrics, NYCH + H/Metropolitan Hospital Center, New York City, New York
,
Emad Ghaly
1   Division of Neonatology, Department of Pediatrics, NYCH + H/Metropolitan Hospital Center, New York City, New York
› Author Affiliations

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2) or coronavirus disease 2019 (COVID-19) is currently in worldwide pandemic state with very limited data about the mode of transmission to the growing fetus. There are a few published cases of COVID-19 infection in the infants born to COVID-19 positive mothers where most of the reported cases were either mildly symptomatic with positive COVID-19 polymerase chain reaction (PCR) or had negative COVID-19 PCR raising the question of vertical transmission. We present a case of likely intrauterine transmission of COVID-19 infection in a critically ill premature infant born to a COVID-19 infected mother and describing her clinical course thus far. The clinical presentation in the infant is consistent with COVID-19 infection described so far in literature along with positive PCR, and positive COVID-19 serology: immunoglobulin G, immunoglobulin M, and immunoglobulin A.



Publication History

Received: 07 May 2020

Accepted: 01 June 2020

Article published online:
16 September 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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