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Early-onset symptomatic neonatal COVID-19 infection with high probability of vertical transmission
Background There are few reports of COVID-19 in neonates and most are suspected to be due to postnatal transmission. Vertical transmission has been proven in only a couple of cases so far. Methods We describe early—onset, severe COVID-19 disease in a neonate with very strong evidence of vertical tra...
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| Published in: | Infection 2021-04, Vol.49 (2), p.339-343 |
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| container_end_page | 343 |
| container_issue | 2 |
| container_start_page | 339 |
| container_title | Infection |
| container_volume | 49 |
| creator | Kulkarni, Rajesh Rajput, Uday Dawre, Rahul Valvi, Chhaya Nagpal, Rema Magdum, Nikita Vankar, Harshali Sonkawade, Naresh Das, Aiswarya Vartak, Sagar Joshi, Suvarna Varma, Santosh Karyakarte, Rajesh Bhosale, Ramesh Kinikar, Aarti |
| description | Background
There are few reports of COVID-19 in neonates and most are suspected to be due to postnatal transmission. Vertical transmission has been proven in only a couple of cases so far.
Methods
We describe early—onset, severe COVID-19 disease in a neonate with very strong evidence of vertical transmission of SARS-CoV-2.
Results
A COVID-19 suspected mother, who tested negative by RT-PCR for COVID, but tested positive for SARS-CoV-2 by serology, delivered a term baby. The neonate was kept in strict isolation. Molecular tests for SARS-CoV-2 on umbilical stump, placenta, and nasopharyngeal aspirate of the neonate, collected at birth were positive. On day 2, the neonate developed clinical features of COVID in the form of fever, poor feeding, and hyperbilirubenemia along with elevated inflammatory markers. Antibiotics were started empirically pending cultures. Blood, CSF, and urine cultures were sterile. Baby tested RT-PCR positive for SARS-CoV-2 on two more occasions before testing positive for antibodies and was discharged on day 21 of life.
Conclusion
This report highlights a very strong possibility of vertical transmission of COVID-19 from a mildly symptomatic, RT-PCR negative but antibody-positive mother with significant symptomatic, early—onset neonatal infection. |
| doi_str_mv | 10.1007/s15010-020-01493-6 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7395939</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2430093171</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-b8c4ab9ab2d2374ecd676bf6df60acc5b8d3a8a5fa15750d56e7e3c1ec1851003</originalsourceid><addsrcrecordid>eNp9kUuPVCEQhYnROG3rH3BhSNy4QXlz2ZiYdtRJJpmNuiXA5XYzuRdaoGfS_160x_GxcEFqUd85VNUB4DnBrwnG6k0lAhOMMO2PcM2QfABWhDONsFbsIVhhhjEaCJVn4Emt1xhjobl6DM4YVZwpylbAndsyH1FONTRYj8u-5cW26GEKOdlmZ7i5-nrxHhENY5qCbzEneBvbDu7idgf3JTvr4hzbEeYJ3oTStV3Uik11ibV2_Cl4NNm5hmd3dQ2-fDj_vPmELq8-XmzeXSLPFW_IDZ5bp62jI2WKBz9KJd0kx0li671ww8jsYMVkiVACj0IGFZgnwZNB9HuwNXh78t0f3BJGH1KfYjb7EhdbjibbaP7upLgz23xjFNNCM90NXt0ZlPztEGozfQMf5tn2YxyqobzfUzOiSEdf_oNe50NJfT1DBeaSatrpNaAnypdcawnT_TAEmx8RmlOEpkdofkZoZBe9-HONe8mvzDrATkDtrbQN5fff_7H9DgrGqQM</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2504629224</pqid></control><display><type>article</type><title>Early-onset symptomatic neonatal COVID-19 infection with high probability of vertical transmission</title><source>Springer Nature</source><creator>Kulkarni, Rajesh ; Rajput, Uday ; Dawre, Rahul ; Valvi, Chhaya ; Nagpal, Rema ; Magdum, Nikita ; Vankar, Harshali ; Sonkawade, Naresh ; Das, Aiswarya ; Vartak, Sagar ; Joshi, Suvarna ; Varma, Santosh ; Karyakarte, Rajesh ; Bhosale, Ramesh ; Kinikar, Aarti</creator><creatorcontrib>Kulkarni, Rajesh ; Rajput, Uday ; Dawre, Rahul ; Valvi, Chhaya ; Nagpal, Rema ; Magdum, Nikita ; Vankar, Harshali ; Sonkawade, Naresh ; Das, Aiswarya ; Vartak, Sagar ; Joshi, Suvarna ; Varma, Santosh ; Karyakarte, Rajesh ; Bhosale, Ramesh ; Kinikar, Aarti</creatorcontrib><description>Background
There are few reports of COVID-19 in neonates and most are suspected to be due to postnatal transmission. Vertical transmission has been proven in only a couple of cases so far.
Methods
We describe early—onset, severe COVID-19 disease in a neonate with very strong evidence of vertical transmission of SARS-CoV-2.
Results
A COVID-19 suspected mother, who tested negative by RT-PCR for COVID, but tested positive for SARS-CoV-2 by serology, delivered a term baby. The neonate was kept in strict isolation. Molecular tests for SARS-CoV-2 on umbilical stump, placenta, and nasopharyngeal aspirate of the neonate, collected at birth were positive. On day 2, the neonate developed clinical features of COVID in the form of fever, poor feeding, and hyperbilirubenemia along with elevated inflammatory markers. Antibiotics were started empirically pending cultures. Blood, CSF, and urine cultures were sterile. Baby tested RT-PCR positive for SARS-CoV-2 on two more occasions before testing positive for antibodies and was discharged on day 21 of life.
Conclusion
This report highlights a very strong possibility of vertical transmission of COVID-19 from a mildly symptomatic, RT-PCR negative but antibody-positive mother with significant symptomatic, early—onset neonatal infection.</description><identifier>ISSN: 0300-8126</identifier><identifier>EISSN: 1439-0973</identifier><identifier>DOI: 10.1007/s15010-020-01493-6</identifier><identifier>PMID: 32743723</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Age ; Antibiotics ; Antibodies ; Case Report ; Coronaviruses ; COVID-19 ; COVID-19 - diagnosis ; COVID-19 - therapy ; COVID-19 - transmission ; Disease transmission ; Family Medicine ; Female ; Fever ; General Practice ; Humans ; Infant, Newborn ; Infectious Disease Transmission, Vertical ; Infectious Diseases ; Inflammation ; Internal Medicine ; Medicine ; Medicine & Public Health ; Neonates ; Newborn babies ; Placenta ; Polymerase chain reaction ; Pregnancy ; Pregnancy Complications, Infectious - diagnosis ; Pregnancy Complications, Infectious - virology ; SARS-CoV-2 ; SARS-CoV-2 - isolation & purification ; Serology ; Severe acute respiratory syndrome coronavirus 2 ; Treatment Outcome ; Viral diseases ; Young Adult</subject><ispartof>Infection, 2021-04, Vol.49 (2), p.339-343</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-b8c4ab9ab2d2374ecd676bf6df60acc5b8d3a8a5fa15750d56e7e3c1ec1851003</citedby><cites>FETCH-LOGICAL-c474t-b8c4ab9ab2d2374ecd676bf6df60acc5b8d3a8a5fa15750d56e7e3c1ec1851003</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32743723$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kulkarni, Rajesh</creatorcontrib><creatorcontrib>Rajput, Uday</creatorcontrib><creatorcontrib>Dawre, Rahul</creatorcontrib><creatorcontrib>Valvi, Chhaya</creatorcontrib><creatorcontrib>Nagpal, Rema</creatorcontrib><creatorcontrib>Magdum, Nikita</creatorcontrib><creatorcontrib>Vankar, Harshali</creatorcontrib><creatorcontrib>Sonkawade, Naresh</creatorcontrib><creatorcontrib>Das, Aiswarya</creatorcontrib><creatorcontrib>Vartak, Sagar</creatorcontrib><creatorcontrib>Joshi, Suvarna</creatorcontrib><creatorcontrib>Varma, Santosh</creatorcontrib><creatorcontrib>Karyakarte, Rajesh</creatorcontrib><creatorcontrib>Bhosale, Ramesh</creatorcontrib><creatorcontrib>Kinikar, Aarti</creatorcontrib><title>Early-onset symptomatic neonatal COVID-19 infection with high probability of vertical transmission</title><title>Infection</title><addtitle>Infection</addtitle><addtitle>Infection</addtitle><description>Background
There are few reports of COVID-19 in neonates and most are suspected to be due to postnatal transmission. Vertical transmission has been proven in only a couple of cases so far.
Methods
We describe early—onset, severe COVID-19 disease in a neonate with very strong evidence of vertical transmission of SARS-CoV-2.
Results
A COVID-19 suspected mother, who tested negative by RT-PCR for COVID, but tested positive for SARS-CoV-2 by serology, delivered a term baby. The neonate was kept in strict isolation. Molecular tests for SARS-CoV-2 on umbilical stump, placenta, and nasopharyngeal aspirate of the neonate, collected at birth were positive. On day 2, the neonate developed clinical features of COVID in the form of fever, poor feeding, and hyperbilirubenemia along with elevated inflammatory markers. Antibiotics were started empirically pending cultures. Blood, CSF, and urine cultures were sterile. Baby tested RT-PCR positive for SARS-CoV-2 on two more occasions before testing positive for antibodies and was discharged on day 21 of life.
Conclusion
This report highlights a very strong possibility of vertical transmission of COVID-19 from a mildly symptomatic, RT-PCR negative but antibody-positive mother with significant symptomatic, early—onset neonatal infection.</description><subject>Age</subject><subject>Antibiotics</subject><subject>Antibodies</subject><subject>Case Report</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>COVID-19 - diagnosis</subject><subject>COVID-19 - therapy</subject><subject>COVID-19 - transmission</subject><subject>Disease transmission</subject><subject>Family Medicine</subject><subject>Female</subject><subject>Fever</subject><subject>General Practice</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infectious Disease Transmission, Vertical</subject><subject>Infectious Diseases</subject><subject>Inflammation</subject><subject>Internal Medicine</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neonates</subject><subject>Newborn babies</subject><subject>Placenta</subject><subject>Polymerase chain reaction</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Infectious - diagnosis</subject><subject>Pregnancy Complications, Infectious - virology</subject><subject>SARS-CoV-2</subject><subject>SARS-CoV-2 - isolation & purification</subject><subject>Serology</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Treatment Outcome</subject><subject>Viral diseases</subject><subject>Young Adult</subject><issn>0300-8126</issn><issn>1439-0973</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kUuPVCEQhYnROG3rH3BhSNy4QXlz2ZiYdtRJJpmNuiXA5XYzuRdaoGfS_160x_GxcEFqUd85VNUB4DnBrwnG6k0lAhOMMO2PcM2QfABWhDONsFbsIVhhhjEaCJVn4Emt1xhjobl6DM4YVZwpylbAndsyH1FONTRYj8u-5cW26GEKOdlmZ7i5-nrxHhENY5qCbzEneBvbDu7idgf3JTvr4hzbEeYJ3oTStV3Uik11ibV2_Cl4NNm5hmd3dQ2-fDj_vPmELq8-XmzeXSLPFW_IDZ5bp62jI2WKBz9KJd0kx0li671ww8jsYMVkiVACj0IGFZgnwZNB9HuwNXh78t0f3BJGH1KfYjb7EhdbjibbaP7upLgz23xjFNNCM90NXt0ZlPztEGozfQMf5tn2YxyqobzfUzOiSEdf_oNe50NJfT1DBeaSatrpNaAnypdcawnT_TAEmx8RmlOEpkdofkZoZBe9-HONe8mvzDrATkDtrbQN5fff_7H9DgrGqQM</recordid><startdate>20210401</startdate><enddate>20210401</enddate><creator>Kulkarni, Rajesh</creator><creator>Rajput, Uday</creator><creator>Dawre, Rahul</creator><creator>Valvi, Chhaya</creator><creator>Nagpal, Rema</creator><creator>Magdum, Nikita</creator><creator>Vankar, Harshali</creator><creator>Sonkawade, Naresh</creator><creator>Das, Aiswarya</creator><creator>Vartak, Sagar</creator><creator>Joshi, Suvarna</creator><creator>Varma, Santosh</creator><creator>Karyakarte, Rajesh</creator><creator>Bhosale, Ramesh</creator><creator>Kinikar, Aarti</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210401</creationdate><title>Early-onset symptomatic neonatal COVID-19 infection with high probability of vertical transmission</title><author>Kulkarni, Rajesh ; Rajput, Uday ; Dawre, Rahul ; Valvi, Chhaya ; Nagpal, Rema ; Magdum, Nikita ; Vankar, Harshali ; Sonkawade, Naresh ; Das, Aiswarya ; Vartak, Sagar ; Joshi, Suvarna ; Varma, Santosh ; Karyakarte, Rajesh ; Bhosale, Ramesh ; Kinikar, Aarti</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-b8c4ab9ab2d2374ecd676bf6df60acc5b8d3a8a5fa15750d56e7e3c1ec1851003</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Age</topic><topic>Antibiotics</topic><topic>Antibodies</topic><topic>Case Report</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>COVID-19 - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Infection</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kulkarni, Rajesh</au><au>Rajput, Uday</au><au>Dawre, Rahul</au><au>Valvi, Chhaya</au><au>Nagpal, Rema</au><au>Magdum, Nikita</au><au>Vankar, Harshali</au><au>Sonkawade, Naresh</au><au>Das, Aiswarya</au><au>Vartak, Sagar</au><au>Joshi, Suvarna</au><au>Varma, Santosh</au><au>Karyakarte, Rajesh</au><au>Bhosale, Ramesh</au><au>Kinikar, Aarti</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early-onset symptomatic neonatal COVID-19 infection with high probability of vertical transmission</atitle><jtitle>Infection</jtitle><stitle>Infection</stitle><addtitle>Infection</addtitle><date>2021-04-01</date><risdate>2021</risdate><volume>49</volume><issue>2</issue><spage>339</spage><epage>343</epage><pages>339-343</pages><issn>0300-8126</issn><eissn>1439-0973</eissn><abstract>Background
There are few reports of COVID-19 in neonates and most are suspected to be due to postnatal transmission. Vertical transmission has been proven in only a couple of cases so far.
Methods
We describe early—onset, severe COVID-19 disease in a neonate with very strong evidence of vertical transmission of SARS-CoV-2.
Results
A COVID-19 suspected mother, who tested negative by RT-PCR for COVID, but tested positive for SARS-CoV-2 by serology, delivered a term baby. The neonate was kept in strict isolation. Molecular tests for SARS-CoV-2 on umbilical stump, placenta, and nasopharyngeal aspirate of the neonate, collected at birth were positive. On day 2, the neonate developed clinical features of COVID in the form of fever, poor feeding, and hyperbilirubenemia along with elevated inflammatory markers. Antibiotics were started empirically pending cultures. Blood, CSF, and urine cultures were sterile. Baby tested RT-PCR positive for SARS-CoV-2 on two more occasions before testing positive for antibodies and was discharged on day 21 of life.
Conclusion
This report highlights a very strong possibility of vertical transmission of COVID-19 from a mildly symptomatic, RT-PCR negative but antibody-positive mother with significant symptomatic, early—onset neonatal infection.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32743723</pmid><doi>10.1007/s15010-020-01493-6</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0300-8126 |
| ispartof | Infection, 2021-04, Vol.49 (2), p.339-343 |
| issn | 0300-8126 1439-0973 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7395939 |
| source | Springer Nature |
| subjects | Age Antibiotics Antibodies Case Report Coronaviruses COVID-19 COVID-19 - diagnosis COVID-19 - therapy COVID-19 - transmission Disease transmission Family Medicine Female Fever General Practice Humans Infant, Newborn Infectious Disease Transmission, Vertical Infectious Diseases Inflammation Internal Medicine Medicine Medicine & Public Health Neonates Newborn babies Placenta Polymerase chain reaction Pregnancy Pregnancy Complications, Infectious - diagnosis Pregnancy Complications, Infectious - virology SARS-CoV-2 SARS-CoV-2 - isolation & purification Serology Severe acute respiratory syndrome coronavirus 2 Treatment Outcome Viral diseases Young Adult |
| title | Early-onset symptomatic neonatal COVID-19 infection with high probability of vertical transmission |
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