Neonatal SARS-CoV-2 infection: is this a vertical transmission?

Neonatal COVID-19, its manifestations and transmission, remains unclear. As the pandemic continues more evidence will emerge but so far, vertical transmission of COVID-19 is rare with just a few reports in the literature.¹ We share our experience of managing a preterm newborn with COVID-19 in our neonatal intensive care unit (NICU) where the vertical route seems the most likely mode of transmission.

Femi Adeniyi
ST6 Paediatrics
femi.adeniyi@nhs.net

Sanjeev Rath
Neonatal Consultant
s.rath@nhs.net

Yewande Wey
MTI Fellow
yewande.wey@nhs.net

Arrowe Park Hospital, Wirral University Teaching Hospital NHS Foundation Trust

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Keywords

aplasia cutis congenita; skin disorder; congenital; placental infarct; fetus papyraceus

Key points

Extensive ACC lesions on the trunk and limbs are rare.
ACC can be associated with placental infarcts or the in utero death of a twin fetus, as in the case presented here.
Obstetric history should review maternal medications/infections during pregnancy, determine an initial multiple pregnancy with death of a co-twin and investigate any placental anomalies.
Despite their large size, truncal and limb ACC lesions usually resolve within the first few months of life.

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VOLUME 15/ISSUE 3, MAY 2019

Cleft palate and oral synechiae in a newborn infant

Cleft lip or palate associated with fibrous bands, also known as oral synechiae, is rare. This report describes a newborn infant with four fibrous bands in the oral cavity, a left-sided cleft lip and a cleft of the hard and soft palate. The fibrous bands made feeding difficult and raised concerns about the baby’s airway as they prevented normal positioning of the tongue.