Decreased Fetal Movements: A Sign of Placental SARS-CoV-2 Infection with Perinatal Brain Injury.

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Date

15 décembre 2021

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Périmètre
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Serveur académique Lausannois

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Ce document est lié à :
info:eu-repo/semantics/altIdentifier/doi/10.3390/v13122517

Ce document est lié à :
info:eu-repo/semantics/altIdentifier/pmid/34960786

Ce document est lié à :
info:eu-repo/semantics/altIdentifier/eissn/1999-4915

Ce document est lié à :
info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_93841AE827290

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Serveur Académique Lausannois

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Université de Lausanne et CHUV

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info:eu-repo/semantics/openAccess , CC BY 4.0 , https://creativecommons.org/licenses/by/4.0/

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Adult; Brain Injuries/etiology; Brain Injuries/pathology; COVID-19/complications; COVID-19/physiopathology; COVID-19/virology; Cesarean Section; Female; Fetal Movement; Humans; Infant, Newborn; Infant, Premature; Infectious Disease Transmission, Vertical; Leukomalacia, Periventricular/etiology; Leukomalacia, Periventricular/pathology; Placenta/pathology; Placenta/virology; Pregnancy; Pregnancy Complications, Infectious/physiopathology; Pregnancy Complications, Infectious/virology; SARS-CoV-2/isolation & purification; COVID-19; MRI; SARS-CoV-2; brain injury; fetal movements; neurosonography; perinatal; placental

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Cerebrum Mind

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G. Favre et al., « Decreased Fetal Movements: A Sign of Placental SARS-CoV-2 Infection with Perinatal Brain Injury. », Serveur académique Lausannois, ID : 10.3390/v13122517

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Neonatal COVID-19 is rare and mainly results from postnatal transmission. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), however, can infect the placenta and compromise its function. We present two cases of decreased fetal movements and abnormal fetal heart rhythm 5 days after mild maternal COVID-19, requiring emergency caesarean section at 29 + 3 and 32 + 1 weeks of gestation, and leading to brain injury. Placental examination revealed extensive and multifocal chronic intervillositis, with intense cytoplasmic positivity for SARS-CoV-2 spike antibody and SARS-CoV-2 detection by RT-qPCR. Vertical transmission was confirmed in one case, and both neonates developed extensive cystic peri-ventricular leukomalacia.

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