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Probable Case of Vertical Transmission of SARS-CoV-2 in a Newborn in Mexico
Author(s) -
Marcela Mendoza-Hernández,
Ivette Huerta-Niño de Rivera,
María YoldiNegrete,
Pamela Saviñon-Tejeda,
Rafael FrancoCendejas,
Luis Esaú López-Jácome,
Iñaki Navarro-Castellanos
Publication year - 2021
Publication title -
neonatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.399
H-Index - 84
eISSN - 1661-7819
pISSN - 1661-7800
DOI - 10.1159/000514710
Subject(s) - medicine , asymptomatic , chest radiograph , transmission (telecommunications) , respiratory distress , pneumothorax , pediatrics , population , covid-19 , continuous positive airway pressure , pregnancy , etiology , surgery , lung , disease , electrical engineering , obstructive sleep apnea , environmental health , infectious disease (medical specialty) , biology , genetics , engineering
Background: Much remains unknown about the transmission of the SARS-CoV-2 virus. Pregnant women are considered part of the risk population, and vertical transmission of other coronaviruses has been suggested; however, this type of transmission in SARS-CoV-2 is believed to be unlikely. Case Report: A newborn delivered in term via cesarean section to an asymptomatic but COVID-19-positive 35-year-old woman started with respiratory distress in the first 30 min of life. A chest radiograph revealed pneumothorax and ground glass opacities. Ventilatory support with continuous positive airway pressure was needed. Given the respiratory failure and the positive test from the mother, the patient was sampled for SARS-CoV-2 (RT-PCR) at minute 30 of life, with a positive result reported at 36 h of life. No complications had been present during pregnancy, and cardiac screening and blood cultures revealed no other etiologies. Conclusion: Vertical transmission was highly likely in this case. Clinicians should be alert and report similar cases.

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