Etienne Kajibwami Birindwa1,2, Guy Mulinganya Mulumeoderhwa3,4, Olivier Nyakio5, Guy-Quesney Mateso Mbale6, Serge Zigabe Mushamuka7, Jeanne Maningo Materanya3, Pierrot Mulumeoderhwa Kahasha4,8, Yvette Kujirakwinja Bisimwa3,4, Freddy Mirindi Kampara3,4, Jules Mongane Irenge3,4, Isaac Barhishindi Kibalama3,4, Pierre Kabuya Luzadi9, Espoir Bwenge Malembaka4,10, Daniel Garhalangwa-Na-Muntu Mayeri8, Marius Baguma4,6, Ghislain Bisimwa Balaluka4,10. 1. Departement of Gynecology and Obstetrics, Hôpital Provincial Général de Référence de Bukavu (HPGRB), Bukavu, Democratic Republic of the Congo. kajibwamie@gmail.com. 2. Faculty of Medicine, Université Catholique de Bukavu (UCB), Bukavu, Democratic Republic of the Congo. kajibwamie@gmail.com. 3. Departement of Gynecology and Obstetrics, Hôpital Provincial Général de Référence de Bukavu (HPGRB), Bukavu, Democratic Republic of the Congo. 4. Faculty of Medicine, Université Catholique de Bukavu (UCB), Bukavu, Democratic Republic of the Congo. 5. Departement of Gynecology and Obstetrics, Panzi General Referral Hospital, Bukavu, Democratic Republic of the Congo. 6. Departement of Internal Medicine, Hôpital Provincial Général de Référence de Bukavu (HPGRB), Bukavu, Democratic Republic of the Congo. 7. Departement of Paediatrics, Hôpital Provincial Général de Référence de Bukavu (HPGRB), Bukavu, Democratic Republic of the Congo. 8. Departement of Pathology, Hôpital Provincial Général de Référence de Bukavu (HPGRB), Bukavu, Democratic Republic of the Congo. 9. Department of Anesthesiology and Intensive Care, Hôpital Provincial Général de Référence de Bukavu (HPGRB), Bukavu, Democratic Republic of the Congo. 10. Ecole régionale de santé publique (ERSP), Université Catholique de Bukavu (UCB), Bukavu, Democratic Republic of the Congo.
Abstract
INTRODUCTION: Vertical transmission of covid-19 is possible; its risk factors are worth researching. The placental changes found in pregnant women have a definite impact on the foetus. CASE PRESENTATION: We report a case of a 25-year-old woman, gravida 3, para 2 (2 alive children), with a history of two caesarean deliveries, who was infected by the SARS-CoV-2 during the last term of her pregnancy. She gave birth by caesarean at 34 weeks of gestation to a newborn baby also infected with SARS-CoV-2. The peri-operative observations noted several eruptive lesions in the pelvis, bleeding on contact. Microscopic examination of the foetal appendages revealed thrombotic vasculopathy in the placenta and in the umbilical cord vessels. CONCLUSION: This case is one of the first documented cases of COVID-19 in pregnancy in sub-Saharan Africa. We strongly suggest obstetricians to carefully examine the aspect of the peritoneum, viscera and foetal appendages in affected pregnant women.
INTRODUCTION: Vertical transmission of covid-19 is possible; its risk factors are worth researching. The placental changes found in pregnant women have a definite impact on the foetus. CASE PRESENTATION: We report a case of a 25-year-old woman, gravida 3, para 2 (2 alive children), with a history of two caesarean deliveries, who was infected by the SARS-CoV-2 during the last term of her pregnancy. She gave birth by caesarean at 34 weeks of gestation to a newborn baby also infected with SARS-CoV-2. The peri-operative observations noted several eruptive lesions in the pelvis, bleeding on contact. Microscopic examination of the foetal appendages revealed thrombotic vasculopathy in the placenta and in the umbilical cord vessels. CONCLUSION: This case is one of the first documented cases of COVID-19 in pregnancy in sub-Saharan Africa. We strongly suggest obstetricians to carefully examine the aspect of the peritoneum, viscera and foetal appendages in affected pregnant women.
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