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伊朗一名患有2019冠状病毒病的母亲所生的疑似2019冠状病毒病新生儿死亡:病例报告。

Death of a neonate with suspected coronavirus disease 2019 born to a mother with coronavirus disease 2019 in Iran: a case report.

作者信息

Rashidian Tayebeh, Sharifi Nasibeh, Fathnezhad-Kazemi Azita, Mirzamrajani Fatemeh, Nourollahi Sajad, Ghaysouri Abas

机构信息

Department of Obstetrics and Gynecology, Medical School, Ilam University of Medical Sciences, Ilam, Iran.

Department of Midwifery, School of Nursing & Midwifery, Ilam University of Medical Sciences, Ilam, Iran.

出版信息

J Med Case Rep. 2020 Oct 6;14(1):186. doi: 10.1186/s13256-020-02519-1.

Abstract

INTRODUCTION

A novel coronavirus named severe acute respiratory syndrome coronavirus 2, was first reported in Wuhan, China, in December 2019. The virus, known as COVID-19, is recognized as a potentially life-threatening disease by causing severe respiratory disease. Since this virus has not previously been detected in humans, there is a paucity of information regarding its effects on humans. In addition, only limited or no information exists about its impact during pregnancy.

CASE PRESENTATION

In the present case study, we report the death of a neonate born to a 32-year-old mother with coronavirus disease 2019 in Ilam, Iran, with Kurdish ethnicity. We report the infection and death of a neonate in Iran with a chest X-ray (CXR) marked abnormality 2 hours after birth demonstrating coronavirus disease 2019 disease. The neonate was born by elective cesarean section, the fetal health was assessed using fetal heart rate and a non-stress test before the birth, and there was no evidence of fetal distress. All the above-mentioned facts and radiographic abnormalities suggested that coronavirus disease 2019 is involved.

CONCLUSIONS

In this case study, we report the death of a neonate born to a mother with coronavirus disease 2019, 11 hours after birth. There is a paucity of data on the vertical transmission and the adverse maternal-fetal consequences of this disease, so vertical transmission from mother to child remains to be confirmed.

摘要

引言

2019年12月,一种名为严重急性呼吸综合征冠状病毒2的新型冠状病毒首次在中国武汉被报告。这种被称为COVID-19的病毒会引发严重的呼吸系统疾病,被认为是一种潜在的危及生命的疾病。由于此前未在人类中检测到这种病毒,关于其对人类影响的信息匮乏。此外,关于其在孕期的影响,仅有有限的信息或几乎没有相关信息。

病例报告

在本病例研究中,我们报告了一名新生儿的死亡,其母亲是一名32岁的患有2019冠状病毒病的伊朗伊拉姆库尔德族女性。我们报告了伊朗一名新生儿的感染和死亡情况,该新生儿出生后2小时胸部X光(CXR)显示有明显异常,确诊为2019冠状病毒病。新生儿通过择期剖宫产出生,出生前使用胎儿心率和无应激试验评估了胎儿健康状况,没有胎儿窘迫的迹象。上述所有事实和影像学异常表明与2019冠状病毒病有关。

结论

在本病例研究中,我们报告了一名患有2019冠状病毒病的母亲所生新生儿在出生11小时后死亡的情况。关于这种疾病的垂直传播以及母婴不良后果的数据很少,因此母婴垂直传播仍有待证实。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfd1/7541314/32bbad77cd71/13256_2020_2519_Fig1_HTML.jpg

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