Volume 1, Issue 4 (Autumn 2020)
J Vessel Circ 2020, 1(4): 35-40 |
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Ghandi Y, Mehrabi S, Safaei Qomi M. Premature Neonate With Subclinical Myocarditis Born to a Mother With COVID-19 Infection: A Case Report. J Vessel Circ 2020; 1 (4) :35-40
URL: http://jvessels.muq.ac.ir/article-1-64-en.html
URL: http://jvessels.muq.ac.ir/article-1-64-en.html
1- Department of Pediatric Cardiology, Amir Kabir Hospital, School of Medicine, Arak University of Medical Sciences, Arak, Iran., Amir Kabir Hospital
2- Department of Pediatrics, Amir Kabir Hospital, School of Medicine, Arak University of Medical Sciences, Arak, Iran., Amir Kabir Hospital
3- Department of Pediatrics, School of Medicine, Arak University of Medical Sciences, Arak, Iran., Amir Kabir Hospital
2- Department of Pediatrics, Amir Kabir Hospital, School of Medicine, Arak University of Medical Sciences, Arak, Iran., Amir Kabir Hospital
3- Department of Pediatrics, School of Medicine, Arak University of Medical Sciences, Arak, Iran., Amir Kabir Hospital
Abstract: (969 Views)
Background: In December 2019, COVID-19 caused by the SARS-CoV-2 appeared in China and then spread to many countries. Like many other medical conditions, infection with SARS CoV-2 would cause complications during pregnancy and severe illness in pregnant women.
Case Report: We reported a premature neonate (31 weeks gestational age, weight 1700 g) with subclinical myocarditis born to a mother with COVID-19. Her mother had no symptoms and confirmed infection with SARS CoV-2 during pregnancy. Four days after delivery, the mother was diagnosed with COVID-19 infection. The neonate had positive C-Reactive Protein (CRP), elevated cardiac enzymes, and lymphopenia but negative real-time Polymerase Chain Reaction assays (real-time PCR). Her subclinical myocarditis was treated with Intravenous Immunoglobulin (IVIG) and inotrope. We did not use antiviral therapy in medical treatment. The neonate was discharged 3 weeks after admission with normal cardiac biomarkers enzyme levels and cardiac function in echocardiography. Her follow-up chest x-ray after two weeks was also normal.
Conclusion: It seems that subclinical myocarditis can be a complication of COVID-19 in neonates, and this infection could also cause preterm labor in infected pregnant women. Since clinical data on COVID-19 in newborns are still very limited, it is essential to check all the potential complications for pregnant women and their newborns, including cardiac complications.
Case Report: We reported a premature neonate (31 weeks gestational age, weight 1700 g) with subclinical myocarditis born to a mother with COVID-19. Her mother had no symptoms and confirmed infection with SARS CoV-2 during pregnancy. Four days after delivery, the mother was diagnosed with COVID-19 infection. The neonate had positive C-Reactive Protein (CRP), elevated cardiac enzymes, and lymphopenia but negative real-time Polymerase Chain Reaction assays (real-time PCR). Her subclinical myocarditis was treated with Intravenous Immunoglobulin (IVIG) and inotrope. We did not use antiviral therapy in medical treatment. The neonate was discharged 3 weeks after admission with normal cardiac biomarkers enzyme levels and cardiac function in echocardiography. Her follow-up chest x-ray after two weeks was also normal.
Conclusion: It seems that subclinical myocarditis can be a complication of COVID-19 in neonates, and this infection could also cause preterm labor in infected pregnant women. Since clinical data on COVID-19 in newborns are still very limited, it is essential to check all the potential complications for pregnant women and their newborns, including cardiac complications.
Type of Study: case report |
Subject:
cardiovascular diseases
Received: 2020/04/13 | Accepted: 2020/08/8 | Published: 2020/10/1
Received: 2020/04/13 | Accepted: 2020/08/8 | Published: 2020/10/1
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