| Autor: |
van Enter BJD; Department of Obstetrics and Gynecology, Saint Elisabeth Hospital, Willemstad, Curaçao., Huibers MHW; Global Child Health Group, Emma Children's Hospital, Amsterdam Medical Centre (AMC), Amsterdam, The Netherlands.; Department of Pediatrics, Saint Elisabeth Hospital, Willemstad, Curaçao., van Rooij L; Department of Pediatrics, Medisch Spectrum Twente, Enschede, The Netherlands.; Department of Pediatrics, Saint Elisabeth Hospital, Willemstad, Curaçao., Steingrover R; Analytic Diagnostic Center, Willemstad, Curaçao.; Department of Clinical Microbiology and Infection Prevention, Saint Elisabeth Hospital, Willemstad, Curaçao., van Hensbroek MB; Global Child Health Group, Emma Children's Hospital, Amsterdam Medical Centre (AMC), Amsterdam, The Netherlands., Voigt RR; Department of Obstetrics and Gynecology, Saint Elisabeth Hospital, Willemstad, Curaçao., Hol J; Department of Pediatrics, Noordwest Ziekenhuis, Alkmaar, The Netherlands.; Department of Pediatrics, Saint Elisabeth Hospital, Willemstad, Curaçao. |
| Abstrakt: |
Recent outbreaks of Chikungunya virus (CHIKV) infection confirm the vulnerability of neonates after vertical transmission. In 2014, CHIKV was reported for the first time in the Americas, including the island of Curaçao. We describe the outcomes of symptomatic neonates with vertically transmitted CHIKV infection during the CHIKV epidemic, who were admitted in the Saint Elisabeth Hospital, Willemstad, Curaçao. There were three symptomatic neonates with serologically confirmed infection. Two neonates developed neurological complications, including convulsions and intracerebral bleeding. One newborn, in whom maternal infection occurred 7 weeks before delivery, had a fatal outcome after birth. Maternal-fetal transmission of CHIKV may cause severe neonatal complications. There is a need to share experiences and to implement protocols toward the management of perinatal CHIKV infection. |
