Death of a neonate with suspected coronavirus disease 2019 born to a mother with coronavirus disease 2019 in Iran: a cas

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(2020) 14:186

CASE REPORT

Open Access

Death of a neonate with suspected coronavirus disease 2019 born to a mother with coronavirus disease 2019 in Iran: a case report Tayebeh Rashidian1, Nasibeh Sharifi2*, Azita Fathnezhad-Kazemi3, Fatemeh Mirzamrajani1, Sajad Nourollahi4 and Abas Ghaysouri5

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 nonstress 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. Keywords: Coronavirus 19, Novel coronavirus, Infant death, Mother-to-child transmissions

Introduction The spread of the novel coronavirus, scientifically known as severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2), a potentially life-threatening respiratory disease, has led to a major public health problem and a threat to the health of millions of people worldwide [1, 2]. The World Health Organization (WHO) issued a * Correspondence: [email protected] 2 Department of Midwifery, School of Nursing & Midwifery, Ilam University of Medical Sciences, Ilam, Iran Full list of author information is available at the end of the article

statement on January 11, 2019, declaring the novel coronavirus (2019-nCoV) the sixth public health emergency worldwide [3]. The increased incidence and global spread of this virus has caused great concern and panic among people all over the world [4, 5]. According to the latest meta-analysis of 50,466 patients with SARS-Cov-2, known as COVID-19, the virus has led to the mortality rate of 4.3% [1, 6, 7]. The prevalence and mortality due to outbreaks of novel coronavirus disease 2019 is very high in Iran [7, 8]. Elderly people with underlying health conditions, people with

© The Author(s). 2020 Open Access This article is licensed under a Creative Commo