Detection of SARS-CoV-2 in Neonatal Autopsy Tissues and Placenta

Severe coronavirus disease in neonates is rare. We analyzed clinical, laboratory, and autopsy findings from a neonate in the United States who was delivered at 25 weeks of gestation and died 4 days after birth; the mother had asymptomatic severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)...

Full description

Bibliographic Details
Main Authors: Sarah Reagan-Steiner, Julu Bhatnagar, Roosecelis B. Martines, Nicholas S. Milligan, Carly Gisondo, Frank B. Williams, Elizabeth Lee, Lindsey Estetter, Hannah Bullock, Cynthia S. Goldsmith, Pamela Fair, Julie Hand, Gillian Richardson, Kate R. Woodworth, Titilope Oduyebo, Romeo R. Galang, Rebecca Phillips, Elizaveta Belyaeva, Xiao-Ming Yin, Dana Meaney-Delman, Timothy M. Uyeki, Drucilla J. Roberts, Sherif R. Zaki
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2022-03-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/28/3/21-1735_article
_version_ 1819278212441571328
author Sarah Reagan-Steiner
Julu Bhatnagar
Roosecelis B. Martines
Nicholas S. Milligan
Carly Gisondo
Frank B. Williams
Elizabeth Lee
Lindsey Estetter
Hannah Bullock
Cynthia S. Goldsmith
Pamela Fair
Julie Hand
Gillian Richardson
Kate R. Woodworth
Titilope Oduyebo
Romeo R. Galang
Rebecca Phillips
Elizaveta Belyaeva
Xiao-Ming Yin
Dana Meaney-Delman
Timothy M. Uyeki
Drucilla J. Roberts
Sherif R. Zaki
author_facet Sarah Reagan-Steiner
Julu Bhatnagar
Roosecelis B. Martines
Nicholas S. Milligan
Carly Gisondo
Frank B. Williams
Elizabeth Lee
Lindsey Estetter
Hannah Bullock
Cynthia S. Goldsmith
Pamela Fair
Julie Hand
Gillian Richardson
Kate R. Woodworth
Titilope Oduyebo
Romeo R. Galang
Rebecca Phillips
Elizaveta Belyaeva
Xiao-Ming Yin
Dana Meaney-Delman
Timothy M. Uyeki
Drucilla J. Roberts
Sherif R. Zaki
author_sort Sarah Reagan-Steiner
collection DOAJ
description Severe coronavirus disease in neonates is rare. We analyzed clinical, laboratory, and autopsy findings from a neonate in the United States who was delivered at 25 weeks of gestation and died 4 days after birth; the mother had asymptomatic severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and preeclampsia. We observed severe diffuse alveolar damage and localized SARS-CoV-2 by immunohistochemistry, in situ hybridization, and electron microscopy of the lungs of the neonate. We localized SARS-CoV-2 RNA in neonatal heart and liver vascular endothelium by using in situ hybridization and detected SARS-CoV-2 RNA in neonatal and placental tissues by using reverse transcription PCR. Subgenomic reverse transcription PCR suggested viral replication in lung/airway, heart, and liver. These findings indicate that in utero SARS-CoV-2 transmission contributed to this neonatal death.
first_indexed 2024-12-24T00:08:25Z
format Article
id doaj.art-dbba9e5d326d4e7fb088350a577698de
institution Directory Open Access Journal
issn 1080-6040
1080-6059
language English
last_indexed 2024-12-24T00:08:25Z
publishDate 2022-03-01
publisher Centers for Disease Control and Prevention
record_format Article
series Emerging Infectious Diseases
spelling doaj.art-dbba9e5d326d4e7fb088350a577698de2022-12-21T17:24:56ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592022-03-0128351051710.3201/eid2803.211735Detection of SARS-CoV-2 in Neonatal Autopsy Tissues and PlacentaSarah Reagan-SteinerJulu BhatnagarRoosecelis B. MartinesNicholas S. MilliganCarly GisondoFrank B. WilliamsElizabeth LeeLindsey EstetterHannah BullockCynthia S. GoldsmithPamela FairJulie HandGillian RichardsonKate R. WoodworthTitilope OduyeboRomeo R. GalangRebecca PhillipsElizaveta BelyaevaXiao-Ming YinDana Meaney-DelmanTimothy M. UyekiDrucilla J. RobertsSherif R. Zaki Severe coronavirus disease in neonates is rare. We analyzed clinical, laboratory, and autopsy findings from a neonate in the United States who was delivered at 25 weeks of gestation and died 4 days after birth; the mother had asymptomatic severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and preeclampsia. We observed severe diffuse alveolar damage and localized SARS-CoV-2 by immunohistochemistry, in situ hybridization, and electron microscopy of the lungs of the neonate. We localized SARS-CoV-2 RNA in neonatal heart and liver vascular endothelium by using in situ hybridization and detected SARS-CoV-2 RNA in neonatal and placental tissues by using reverse transcription PCR. Subgenomic reverse transcription PCR suggested viral replication in lung/airway, heart, and liver. These findings indicate that in utero SARS-CoV-2 transmission contributed to this neonatal death. https://wwwnc.cdc.gov/eid/article/28/3/21-1735_articleCOVID-192019 novel coronavirus diseasecoronavirus diseasesevere acute respiratory syndrome coronavirus 2SARS-CoV-2vertical transmission
spellingShingle Sarah Reagan-Steiner
Julu Bhatnagar
Roosecelis B. Martines
Nicholas S. Milligan
Carly Gisondo
Frank B. Williams
Elizabeth Lee
Lindsey Estetter
Hannah Bullock
Cynthia S. Goldsmith
Pamela Fair
Julie Hand
Gillian Richardson
Kate R. Woodworth
Titilope Oduyebo
Romeo R. Galang
Rebecca Phillips
Elizaveta Belyaeva
Xiao-Ming Yin
Dana Meaney-Delman
Timothy M. Uyeki
Drucilla J. Roberts
Sherif R. Zaki
Detection of SARS-CoV-2 in Neonatal Autopsy Tissues and Placenta
Emerging Infectious Diseases
COVID-19
2019 novel coronavirus disease
coronavirus disease
severe acute respiratory syndrome coronavirus 2
SARS-CoV-2
vertical transmission
title Detection of SARS-CoV-2 in Neonatal Autopsy Tissues and Placenta
title_full Detection of SARS-CoV-2 in Neonatal Autopsy Tissues and Placenta
title_fullStr Detection of SARS-CoV-2 in Neonatal Autopsy Tissues and Placenta
title_full_unstemmed Detection of SARS-CoV-2 in Neonatal Autopsy Tissues and Placenta
title_short Detection of SARS-CoV-2 in Neonatal Autopsy Tissues and Placenta
title_sort detection of sars cov 2 in neonatal autopsy tissues and placenta
topic COVID-19
2019 novel coronavirus disease
coronavirus disease
severe acute respiratory syndrome coronavirus 2
SARS-CoV-2
vertical transmission
url https://wwwnc.cdc.gov/eid/article/28/3/21-1735_article
work_keys_str_mv AT sarahreagansteiner detectionofsarscov2inneonatalautopsytissuesandplacenta
AT julubhatnagar detectionofsarscov2inneonatalautopsytissuesandplacenta
AT roosecelisbmartines detectionofsarscov2inneonatalautopsytissuesandplacenta
AT nicholassmilligan detectionofsarscov2inneonatalautopsytissuesandplacenta
AT carlygisondo detectionofsarscov2inneonatalautopsytissuesandplacenta
AT frankbwilliams detectionofsarscov2inneonatalautopsytissuesandplacenta
AT elizabethlee detectionofsarscov2inneonatalautopsytissuesandplacenta
AT lindseyestetter detectionofsarscov2inneonatalautopsytissuesandplacenta
AT hannahbullock detectionofsarscov2inneonatalautopsytissuesandplacenta
AT cynthiasgoldsmith detectionofsarscov2inneonatalautopsytissuesandplacenta
AT pamelafair detectionofsarscov2inneonatalautopsytissuesandplacenta
AT juliehand detectionofsarscov2inneonatalautopsytissuesandplacenta
AT gillianrichardson detectionofsarscov2inneonatalautopsytissuesandplacenta
AT katerwoodworth detectionofsarscov2inneonatalautopsytissuesandplacenta
AT titilopeoduyebo detectionofsarscov2inneonatalautopsytissuesandplacenta
AT romeorgalang detectionofsarscov2inneonatalautopsytissuesandplacenta
AT rebeccaphillips detectionofsarscov2inneonatalautopsytissuesandplacenta
AT elizavetabelyaeva detectionofsarscov2inneonatalautopsytissuesandplacenta
AT xiaomingyin detectionofsarscov2inneonatalautopsytissuesandplacenta
AT danameaneydelman detectionofsarscov2inneonatalautopsytissuesandplacenta
AT timothymuyeki detectionofsarscov2inneonatalautopsytissuesandplacenta
AT drucillajroberts detectionofsarscov2inneonatalautopsytissuesandplacenta
AT sherifrzaki detectionofsarscov2inneonatalautopsytissuesandplacenta