1. Placental maternal vascular malperfusion affecting late fetuses development and multi-organ infection caused by SARS-CoV-2
- Author
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D. Savi, F.D. Krimberg, Denise Cantarelli Machado, Gabriele Zanirati, J.C. Da Costa, L.V.B. Borém, Felipe V. F. Rodrigues, Daniel Rodrigo Marinowic, J.A.K. Behling, Matheus V. Coste Grahl, and G. Pinzetta
- Subjects
Fetus ,Pathology ,medicine.medical_specialty ,nervous system ,genetic structures ,business.industry ,viruses ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,medicine ,Multi organ ,business ,behavioral disciplines and activities ,psychological phenomena and processes - Abstract
Background: Pregnant women are susceptible to the novel coronavirus (SARS-CoV-2) and the consequences on the fetus are still uncertain. Here, we present a case of a pregnant woman with subclinical hypothyroidism and PAI-1 4G/5G mutation who was infected with SARS-CoV-2 at the end of the third trimester of pregnancy. Methods: nested PCR were performed to detect the virus, followed by ssDNA sequencing. Results: transplacental transmission of SARS-CoV-2 can cause placental inflammation, ischemia and neonatal viremia, with complications such as preterm labor and damage to the placental barrier in patients with PAI-1 4G/5G mutation. Conclusion: we show the possibility of transplacental transmission of SARS-CoV-2 infection during the last weeks of pregnancy.
- Published
- 2020
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