Evidence map›Paper›PMID 33842905›Full record

ArticleAJOG global reports2021

Severe acute respiratory syndrome coronavirus 2 detected in placentas of 2 coronavirus disease 2019-positive asymptomatic pregnant women-case report.

Jaime Sanchez, Paulino Vigil-De Gracia, Erika Guerrero, Melissa Gaitán, Cindy Fu, María Chen-Germán, Rodrigo Villalobos, Luis Coronado, Alexander A Martínez, Dimelza Araúz and 10 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in AJOG global reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. COVID-19 in pregnancy: What we know from the first year of the pandemic.Biochimica et biophysica acta. Molecular basis of disease · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 4 institutions in 1 country.

Jaime SanchezDepartment of Gynecology and Obstetrics, Hospital Santo Tomás, Panama City, Republic of Panama (Dr Sanchez).
Paulino Vigil-De GraciaDivision of Gynecology and Obstetrics, Complejo Hospitalario Metropolitano Dr Arnulfo Arias Madrid, Panama City, Republic of Panama (Dr Vigil-De Gracia, Dr Campana, and Dr Chinkee).
Erika GuerreroStem Cell Research Group, Department of Sexual and Reproductive Health Research, Gorgas Memorial Institute for Health Studies, Panama City, Republic of Panama (Dr Guerrero, Ms Fu, and Ms Vega and Dr Solis).
Melissa GaitánDepartment of Virology and Biotechnology Research, Gorgas Memorial Institute for Health Studies, Panama City, Republic of Panama (Ms Gaitán, Ms Chen-Germán, Ms Araúz, Saenz and Dr López-Vergès).
Cindy FuStem Cell Research Group, Department of Sexual and Reproductive Health Research, Gorgas Memorial Institute for Health Studies, Panama City, Republic of Panama (Dr Guerrero, Ms Fu, and Ms Vega and Dr Solis).
María Chen-GermánDepartment of Virology and Biotechnology Research, Gorgas Memorial Institute for Health Studies, Panama City, Republic of Panama (Ms Gaitán, Ms Chen-Germán, Ms Araúz, Saenz and Dr López-Vergès).
Rodrigo VillalobosDepartment of Diagnostics, Pathology Service, Hospital Santo Tomás, Panama City, Republic of Panama (Dr Villalobos and Dr Coronado).
Luis CoronadoDepartment of Diagnostics, Pathology Service, Hospital Santo Tomás, Panama City, Republic of Panama (Dr Villalobos and Dr Coronado).
Alexander A MartínezDepartment of Genomics and Proteomics Research, Gorgas Memorial Institute for Health Studies, Panama City, Republic of Panama (Dr Martínez, Ms Chavarría, Ms Góndola, Ms Moreno and Ms González).
Dimelza AraúzDepartment of Virology and Biotechnology Research, Gorgas Memorial Institute for Health Studies, Panama City, Republic of Panama (Ms Gaitán, Ms Chen-Germán, Ms Araúz, Saenz and Dr López-Vergès).
Lisseth SaenzDepartment of Virology and Biotechnology Research, Gorgas Memorial Institute for Health Studies, Panama City, Republic of Panama (Ms Gaitán, Ms Chen-Germán, Ms Araúz, Saenz and Dr López-Vergès).
Oris ChavarríaDepartment of Genomics and Proteomics Research, Gorgas Memorial Institute for Health Studies, Panama City, Republic of Panama (Dr Martínez, Ms Chavarría, Ms Góndola, Ms Moreno and Ms González).
Jessica GóndolaDepartment of Genomics and Proteomics Research, Gorgas Memorial Institute for Health Studies, Panama City, Republic of Panama (Dr Martínez, Ms Chavarría, Ms Góndola, Ms Moreno and Ms González).
Ambar MorenoDepartment of Genomics and Proteomics Research, Gorgas Memorial Institute for Health Studies, Panama City, Republic of Panama (Dr Martínez, Ms Chavarría, Ms Góndola, Ms Moreno and Ms González).
Claudia GonzálezDepartment of Genomics and Proteomics Research, Gorgas Memorial Institute for Health Studies, Panama City, Republic of Panama (Dr Martínez, Ms Chavarría, Ms Góndola, Ms Moreno and Ms González).
Shantal VegaStem Cell Research Group, Department of Sexual and Reproductive Health Research, Gorgas Memorial Institute for Health Studies, Panama City, Republic of Panama (Dr Guerrero, Ms Fu, and Ms Vega and Dr Solis).
Sara CampanaDivision of Gynecology and Obstetrics, Complejo Hospitalario Metropolitano Dr Arnulfo Arias Madrid, Panama City, Republic of Panama (Dr Vigil-De Gracia, Dr Campana, and Dr Chinkee).
Jorge Ng ChinkeeDivision of Gynecology and Obstetrics, Complejo Hospitalario Metropolitano Dr Arnulfo Arias Madrid, Panama City, Republic of Panama (Dr Vigil-De Gracia, Dr Campana, and Dr Chinkee).
Sandra López-VergèsDepartment of Virology and Biotechnology Research, Gorgas Memorial Institute for Health Studies, Panama City, Republic of Panama (Ms Gaitán, Ms Chen-Germán, Ms Araúz, Saenz and Dr López-Vergès).
Mairim Alexandra SolísDepartment of Virology and Biotechnology Research, Gorgas Memorial Institute for Health Studies, Panama City, Republic of Panama (Ms Gaitán, Ms Chen-Germán, Ms Araúz, Saenz and Dr López-Vergès).
Instituto Conmemorativo Gorgas de Estudios de la Salud · PAComplejo Hospitalario Dr. Arnulfo Arias Madrid · PASaint Thomas Hospital · PAUniversidad de Panamá · PA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is limited evidence regarding severe acute respiratory syndrome coronavirus 2 infection in the placenta of pregnant women who tested positive, and if this could be a route for vertical transmission of the virus in utero. We present the cases of 2 pregnant women in their third trimester who were admitted for delivery by cesarean delivery and who, through universal screening, tested positive for coronavirus disease 2019. The maternal and fetal sides of the placenta were sectioned from both patients for viral analysis. Real-time polymerase chain reaction analysis of the placental-extracted RNA revealed a severe acute respiratory syndrome coronavirus 2 infection on the fetal side of the placenta in both patients. The virus was isolated from the patient with the lowest cycle threshold value on the fetal side of the placenta. Whole genome sequencing showed that the virus detected in this placenta was from the B1 lineage. Immunohistochemical analysis of the placental tissue detected severe acute respiratory syndrome coronavirus 2 in the endothelial cells of chorionic villi vessels proximal to both the maternal and fetal sides, with a granular cytoplasmic pattern and perinuclear reinforcement. Histologic examination of the placenta also detected a dense infiltrate of lymphoid cells around decidual vessels and endothelial cells with cytopathic changes, especially on the maternal side. Nasopharyngeal swabs from the infants that were subjected to reverse transcription quantitative polymerase chain reaction testing were negative for severe acute respiratory syndrome coronavirus 2 at 24 hours after birth. A follow-up analysis of the infants for immunoglobin G and immunoglobin M expression, clinical manifestations, and long-term developmental abnormalities is recommended.

Indexed as

case reportcoronavirus disease 2019pathologic effectsplacentasevere acute respiratory syndrome coronavirus 2vertical transmission

Identifiers

PMID33842905
PMCPMC7838577
OpenAlexW3125957137

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.