Abstract
BackgroundChikungunya virus infection in neonates is relatively rare and can lead to death.Case presentationWe report the occurrence of the first death of a mother and child after probable vertical transmission of chikungunya virus in Brazil. A 28-year-old pregnant woman with hypertension presented with symptoms compatible with an arboviral disease at 34 weeks’ gestation. She developed preeclampsia with severe respiratory failure which resulted in the emergency cesarean section, and the patient died 12 days after the onset of symptoms. The pre-term newborn weighed 2535 g, with an Apgar score of 4/8. He was referred to the neonatal ICU with neutrophilia and thrombocytopenia, several seizure episodes, and hemorrhagic disorders, which resulted in death. Chikungunya IgM antibody was detected in the cerebrospinal fluid.ConclusionsWe present the first documented maternal and neonatal death in Brazil after probable chikungunya infection during pregnancy.
Highlights
Chikungunya virus infection in neonates is relatively rare and can lead to death.Case presentation: We report the occurrence of the first death of a mother and child after probable vertical transmission of chikungunya virus in Brazil
We report the occurrence of the first death of a mother and child after probable vertical transmission of chikungunya virus during an epidemic in the city of Fortaleza in northeastern Brazil in 2017
The baby’s father/husband had symptoms compatible with an arboviral diseases and Imunoglobulina M (IgM) for chikungunya virus was detected in his blood sample, collected after the death of his wife
Summary
Chikungunya virus infection in neonates is relatively rare and can lead to death.Case presentation: We report the occurrence of the first death of a mother and child after probable vertical transmission of chikungunya virus in Brazil. Conclusions: We present the first documented maternal and neonatal death in Brazil after probable chikungunya infection during pregnancy. We report the occurrence of the first death of a mother and child after probable vertical transmission of chikungunya virus during an epidemic in the city of Fortaleza in northeastern Brazil in 2017.
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