Evidence map›Paper›PMID 32743723›Full record

ArticleInfection2021

Early-onset symptomatic neonatal COVID-19 infection with high probability of vertical transmission.

Rajesh Kulkarni, Uday Rajput, Rahul Dawre, Chhaya Valvi, Rema Nagpal, Nikita Magdum, Harshali Vankar, Naresh Sonkawade, Aiswarya Das, Sagar Vartak and 5 more

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Infection, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 4 pooled it
4.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 4 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
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  11. The youngest surviving COVID-19 patient: A case report.International journal of surgery case reports · 2022
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  15. The Impact of the SARS-CoV-2 Pandemic on Reproduction, Sexual Function and Behaviors: A Review of the Main Trends and Findings.International journal of sexual health : official journal of the World Association for Sexual Health · 2022
    Article
  16. Review
  17. Review
  18. Effects of COVID-19 and mRNA vaccines on human fertility.Human reproduction (Oxford, England) · 2021
    Article
  19. Article
  20. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 1 institution in 1 country.

Rajesh KulkarniDepartment of Pediatrics, B.J. Government Medical College, J. P. Narayan Road, Pune, India.
Uday RajputDepartment of Pediatrics, B.J. Government Medical College, J. P. Narayan Road, Pune, India.
Rahul DawreDepartment of Pediatrics, B.J. Government Medical College, J. P. Narayan Road, Pune, India.
Chhaya ValviDepartment of Pediatrics, B.J. Government Medical College, J. P. Narayan Road, Pune, India.
Rema NagpalDepartment of Pediatrics, B.J. Government Medical College, J. P. Narayan Road, Pune, India.
Nikita MagdumDepartment of Pediatrics, B.J. Government Medical College, J. P. Narayan Road, Pune, India.
Harshali VankarDepartment of Pediatrics, B.J. Government Medical College, J. P. Narayan Road, Pune, India.
Naresh SonkawadeDepartment of Pediatrics, B.J. Government Medical College, J. P. Narayan Road, Pune, India.
Aiswarya DasDepartment of Pediatrics, B.J. Government Medical College, J. P. Narayan Road, Pune, India.
Sagar VartakDepartment of Pediatrics, B.J. Government Medical College, J. P. Narayan Road, Pune, India.
Suvarna JoshiDepartment of Microbiology, B.J. Government Medical College, J. P. Narayan Road, Pune, India.
Santosh VarmaDepartment of Biochemistry, B.J. Government Medical College, J. P. Narayan Road, Pune, India.
Rajesh KaryakarteDepartment of Microbiology, B.J. Government Medical College, J. P. Narayan Road, Pune, India.
Ramesh BhosaleDepartment of Obstetrics and Gynecology, B.J. Government Medical College, J. P. Narayan Road, Pune, India.
Aarti KinikarDepartment of Pediatrics, B.J. Government Medical College, J. P. Narayan Road, Pune, India. aarti.kinikar63@gmail.com.
B. J. Medical College & Sassoon Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are few reports of COVID-19 in neonates and most are suspected to be due to postnatal transmission. Vertical transmission has been proven in only a couple of cases so far.

methodsWe describe early-onset, severe COVID-19 disease in a neonate with very strong evidence of vertical transmission of SARS-CoV-2.

resultsA COVID-19 suspected mother, who tested negative by RT-PCR for COVID, but tested positive for SARS-CoV-2 by serology, delivered a term baby. The neonate was kept in strict isolation. Molecular tests for SARS-CoV-2 on umbilical stump, placenta, and nasopharyngeal aspirate of the neonate, collected at birth were positive. On day 2, the neonate developed clinical features of COVID in the form of fever, poor feeding, and hyperbilirubenemia along with elevated inflammatory markers. Antibiotics were started empirically pending cultures. Blood, CSF, and urine cultures were sterile. Baby tested RT-PCR positive for SARS-CoV-2 on two more occasions before testing positive for antibodies and was discharged on day 21 of life.

conclusionThis report highlights a very strong possibility of vertical transmission of COVID-19 from a mildly symptomatic, RT-PCR negative but antibody-positive mother with significant symptomatic, early-onset neonatal infection.

Indexed as

Infectious Disease Transmission, VerticalCOVID-19FemaleHumansInfant, NewbornPregnancyPregnancy Complications, InfectiousSARS-CoV-2Treatment OutcomeYoung AdultCOVID-19NeonateVertical transmission

Identifiers

PMID32743723
PMCPMC7395939
OpenAlexW3046811349

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.