Stillbirth during infection with Middle East respiratory syndrome coronavirus

Daniel C Payne, Ibrahim Iblan, Sultan Alqasrawi, Mohannad Al Nsour, Brian Rha, Rania A Tohme, Glen R Abedi, Noha H Farag, Aktham Haddadin, Tarek Al Sanhouri, Najwa Jarour, David L Swerdlow, Denise J Jamieson, Mark A Pallansch, Lia M Haynes, Susan I Gerber, Mohammad Mousa Al Abdallat
Journal of Infectious Diseases 2014 June 15, 209 (12): 1870-2
We conducted an epidemiologic investigation among survivors of an outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV) infection in Jordan. A second-trimester stillbirth occurred during the course of an acute respiratory illness that was attributed to MERS-CoV on the basis of exposure history and positive results of MERS-CoV serologic testing. This is the first occurrence of stillbirth during an infection with MERS-CoV and may have bearing upon the surveillance and management of pregnant women in settings of unexplained respiratory illness potentially due to MERS-CoV. Future prospective investigations of MERS-CoV should ascertain pregnancy status and obtain further pregnancy-related data, including biological specimens for confirmatory testing.

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