Middle East Respiratory Syndrome Coronavirus (MERS-CoV) and COVID-19 infection during pregnancy
Identifieur interne : 000855 ( Pmc/Corpus ); précédent : 000854; suivant : 000856Middle East Respiratory Syndrome Coronavirus (MERS-CoV) and COVID-19 infection during pregnancy
Auteurs : Jaffar A. Al-TawfiqSource :
- Travel Medicine and Infectious Disease [ 1477-8939 ] ; 2020.
Url:
DOI: 10.1016/j.tmaid.2020.101641
PubMed: 32247017
PubMed Central: 7118624
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Middle East Respiratory Syndrome Coronavirus (MERS-CoV) and COVID-19 infection during pregnancy</title><author><name sortKey="Al Tawfiq, Jaffar A" sort="Al Tawfiq, Jaffar A" uniqKey="Al Tawfiq J" first="Jaffar A." last="Al-Tawfiq">Jaffar A. Al-Tawfiq</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">32247017</idno><idno type="pmc">7118624</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7118624</idno><idno type="RBID">PMC:7118624</idno><idno type="doi">10.1016/j.tmaid.2020.101641</idno><date when="2020">2020</date><idno type="wicri:Area/Pmc/Corpus">000855</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000855</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Middle East Respiratory Syndrome Coronavirus (MERS-CoV) and COVID-19 infection during pregnancy</title><author><name sortKey="Al Tawfiq, Jaffar A" sort="Al Tawfiq, Jaffar A" uniqKey="Al Tawfiq J" first="Jaffar A." last="Al-Tawfiq">Jaffar A. Al-Tawfiq</name></author></analytic><series><title level="j">Travel Medicine and Infectious Disease</title><idno type="ISSN">1477-8939</idno><idno type="eISSN">1873-0442</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Al Tawfiq, J A" uniqKey="Al Tawfiq J">J.A. Al-Tawfiq</name></author><author><name sortKey="Gautret, P" uniqKey="Gautret P">P. Gautret</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="World Health Organization" uniqKey="World Health Organization">World Health Organization</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Huang, C" uniqKey="Huang C">C. Huang</name></author><author><name sortKey="Wang, Y" uniqKey="Wang Y">Y. Wang</name></author><author><name sortKey="Li, X" uniqKey="Li X">X. Li</name></author><author><name sortKey="Ren, L" uniqKey="Ren L">L. Ren</name></author><author><name sortKey="Zhao, J" uniqKey="Zhao J">J. Zhao</name></author><author><name sortKey="Hu, Y" uniqKey="Hu Y">Y. Hu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wang, D" uniqKey="Wang D">D. Wang</name></author><author><name sortKey="Hu, B" uniqKey="Hu B">B. Hu</name></author><author><name sortKey="Hu, C" uniqKey="Hu C">C. Hu</name></author><author><name sortKey="Zhu, F" uniqKey="Zhu F">F. Zhu</name></author><author><name sortKey="Liu, X" uniqKey="Liu X">X. Liu</name></author><author><name sortKey="Zhang, J" uniqKey="Zhang J">J. Zhang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chen, H" uniqKey="Chen H">H. Chen</name></author><author><name sortKey="Guo, J" uniqKey="Guo J">J. Guo</name></author><author><name sortKey="Wang, C" uniqKey="Wang C">C. Wang</name></author><author><name sortKey="Luo, F" uniqKey="Luo F">F. Luo</name></author><author><name sortKey="Yu, X" uniqKey="Yu X">X. Yu</name></author><author><name sortKey="Zhang, W" uniqKey="Zhang W">W. Zhang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Neher, R A" uniqKey="Neher R">R.A. Neher</name></author><author><name sortKey="Dyrdak, R" uniqKey="Dyrdak R">R. Dyrdak</name></author><author><name sortKey="Druelle, V" uniqKey="Druelle V">V. Druelle</name></author><author><name sortKey="Hodcroft, E B" uniqKey="Hodcroft E">E.B. Hodcroft</name></author><author><name sortKey="Albert, J" uniqKey="Albert J">J. Albert</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Alfaraj, S H" uniqKey="Alfaraj S">S.H. Alfaraj</name></author><author><name sortKey="Al Tawfiq, J A" uniqKey="Al Tawfiq J">J.A. Al-Tawfiq</name></author><author><name sortKey="Memish, Z A" uniqKey="Memish Z">Z.A. Memish</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wong, S F" uniqKey="Wong S">S.F. Wong</name></author><author><name sortKey="Chow, K M" uniqKey="Chow K">K.M. Chow</name></author><author><name sortKey="Leung, T N" uniqKey="Leung T">T.N. Leung</name></author><author><name sortKey="Ng, W F" uniqKey="Ng W">W.F. Ng</name></author><author><name sortKey="Ng, T K" uniqKey="Ng T">T.K. Ng</name></author><author><name sortKey="Shek, C C" uniqKey="Shek C">C.C. Shek</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="editorial"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Travel Med Infect Dis</journal-id><journal-id journal-id-type="iso-abbrev">Travel Med Infect Dis</journal-id><journal-title-group><journal-title>Travel Medicine and Infectious Disease</journal-title></journal-title-group><issn pub-type="ppub">1477-8939</issn><issn pub-type="epub">1873-0442</issn><publisher><publisher-name>Elsevier Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">32247017</article-id><article-id pub-id-type="pmc">7118624</article-id><article-id pub-id-type="publisher-id">S1477-8939(20)30109-5</article-id><article-id pub-id-type="doi">10.1016/j.tmaid.2020.101641</article-id><article-id pub-id-type="publisher-id">101641</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Middle East Respiratory Syndrome Coronavirus (MERS-CoV) and COVID-19 infection during pregnancy</article-title></title-group><contrib-group><contrib contrib-type="author" id="au1"><name><surname>Al-Tawfiq</surname><given-names>Jaffar A.</given-names></name><email>jaffar.tawfiq@jhah.com</email><email>jaffar.tawfiq@jhah.com</email><xref rid="cor1" ref-type="corresp">∗</xref></contrib></contrib-group><aff id="aff1">Specialty Internal Medicine, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia</aff><aff id="aff2">Quality and Patient Safety Department, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia</aff><aff id="aff3">Infectious Disease Division, Indiana University School of Medicine, Indianapolis, IN, USA</aff><aff id="aff4">Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA</aff><author-notes><corresp id="cor1"><label>∗</label>Specialty Internal Medicine, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia. <email>jaffar.tawfiq@jhah.com</email><email>jaffar.tawfiq@jhah.com</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>1</day><month>4</month><year>2020</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="epub"><day>1</day><month>4</month><year>2020</year></pub-date><elocation-id>101641</elocation-id><history><date date-type="received"><day>15</day><month>3</month><year>2020</year></date><date date-type="rev-recd"><day>19</day><month>3</month><year>2020</year></date><date date-type="accepted"><day>20</day><month>3</month><year>2020</year></date></history><permissions><copyright-statement>© 2020 Elsevier Ltd. All rights reserved.</copyright-statement><copyright-year>2020</copyright-year><copyright-holder>Elsevier Ltd</copyright-holder><license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p></license></permissions></article-meta></front><body><p content-type="salutation">Dear Editor,</p><p id="p0010">The emergence of the Middle East Respiratory Syndrome Coronavirus (MERS-CoV) in 2012 was associated with variable rate of asymptomatic infection but no asymptomatic cases were reported among pregnancy [<xref rid="bib1" ref-type="bibr">1</xref>]. The newly emerging 2019 novel coronavirus (2019-nCoV), later named SARS-CoV-2 is the causative agent of the COVID-19. SARS-CoV-2 was identified initially in Wuhan, China. Since its first description in December 2019, the total number of cases as reported by the World Health Organization (WHO) had reached 191,127confirmed cases on February 18, 2020, with 7807 deaths [<xref rid="bib2" ref-type="bibr">2</xref>]. The clinical picture and radiographic presentations were recently described [<xref rid="bib3" ref-type="bibr">3</xref>,<xref rid="bib4" ref-type="bibr">4</xref>] and the clinical picture in nine pregnant women [<xref rid="bib5" ref-type="bibr">5</xref>] were similar to non-pregnant women [<xref rid="bib3" ref-type="bibr">3</xref>,<xref rid="bib4" ref-type="bibr">4</xref>]. One study showed that 15 pregnant patients with COVID-19 had mild disease [<xref rid="bib6" ref-type="bibr">6</xref>]. All of the pregnant patients in one study and 66.7% of pregnant COVID-19 patients had C-section, moreover all the newborn survived [<xref rid="bib5" ref-type="bibr">5</xref>,<xref rid="bib6" ref-type="bibr">6</xref>]. However, 4 of 9 (44%) pregnant COVID-19 patients had premature delivery [<xref rid="bib5" ref-type="bibr">5</xref>]. In a previous study of MERS-CoV, there were 11 pregnant women [<xref rid="bib7" ref-type="bibr">7</xref>]. A comparison between MERS-CoV and COVID-19 cases in pregnancy is shown in <xref rid="tbl1" ref-type="table">Table 1</xref>. There was no difference in the age group of the patients, however, the gestational age was lower among MERS-CoV than COVID-19 patients. Of the MERS-CoV cases in pregnancy, 63.6% required intensive care unit admission and this is comparable to 50% of SARS pregnant women [<xref rid="bib8" ref-type="bibr">8</xref>]. There was no mention about the death rate among pregnant women with COVID-19, however, the case fatality rate among MERS-pregnant patients was about 35% and was not statistically different when compared to the overall MERS case fatality rate [<xref rid="bib7" ref-type="bibr">7</xref>]. In the MERS cases, 40% had C-section and this is much lower than 100% C-section rate in the case of COVID-19. This difference may reflect a variance in the practices between different countries. Another difference is the high fetal demise rate of 30% among pregnant women with MERS compared to 0% among COVID-19. The fetal demise rate among 12 pregnant women with SARS was 25% [<xref rid="bib8" ref-type="bibr">8</xref>]. Thus, similar to the difference in the clinical presentation and course among SARS, MERS-CoV and COVID-19, there is also differences in the outcome and course of pregnant women with these coronaviruses’ infection. Understanding the impact of COVID-19 on pregnancy and outcome would guide healthcare authorities and public health on further risk mitigation and advise for pregnant women around the world.<table-wrap position="float" id="tbl1"><label>Table 1</label><caption><p>A comparison between pregnant women with MERS-CoV and COVID-19.</p></caption><alt-text id="alttext0010">Table 1</alt-text><table frame="hsides" rules="groups"><thead><tr><th></th><th>MERS-CoV [<xref rid="bib7" ref-type="bibr">7</xref>]</th><th>COVID-19 [<xref rid="bib5" ref-type="bibr">5</xref>]</th><th>COVID-19 [<xref rid="bib6" ref-type="bibr">6</xref>]</th><th>P value</th></tr></thead><tbody><tr><td align="left">Number of patients</td><td align="left">11</td><td align="left">9</td><td align="left">15</td><td></td></tr><tr><td align="left">Mean Age (year)</td><td align="left">33.2</td><td align="left">29.9</td><td align="left">32</td><td align="left">0.127</td></tr><tr><td align="left">Mean Gestational age (weeks)</td><td align="left">28</td><td align="left">37.1</td><td align="left">32</td><td align="left">0.01</td></tr><tr><td align="left">ICU admission (%)</td><td align="left">63.6</td><td align="left">–</td><td align="left">0</td><td></td></tr><tr><td align="left">Maternal survival (%)</td><td align="left">72.7</td><td align="left">–</td><td align="left">100</td><td></td></tr><tr><td align="left">Fetal survival (%)</td><td align="left">70</td><td align="left">100</td><td align="left">100</td><td></td></tr><tr><td align="left">C-section, n (%)</td><td align="left">40</td><td align="left">100</td><td align="left">66.7</td><td></td></tr></tbody></table></table-wrap></p></body><back><ref-list id="cebib0010"><title>References</title><ref id="bib1"><label>1</label><element-citation publication-type="journal" id="sref1"><person-group 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