TY - JOUR A2 - Porpora, Maria Grazia AU - Gjakov, Boban AU - Kopač, Darja AU - Vukmanič Pohar, Mateja AU - Lučovnik, Miha PY - 2022 DA - 2022/12/02 TI - Mixed Intervillositis in SARS-CoV-2 Infection Associated with Fetal Death: A Case Report SP - 5404952 VL - 2022 AB - Maternal severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has been shown in epidemiological studies to be associated with an increased risk of stillbirth. Several histopathologic features of placental SARS-CoV-2 infection have been proposed as potential causes of fetal death. We present a case of an otherwise healthy G3P1 women with mild symptoms of SARS-CoV-2 infection at 23 6/7 weeks of gestation. At 25 2/7 weeks, she presented with signs and symptoms of preterm labor and decreased fetal movements. Fetal death was diagnosed at admission. Placental pathology showed pronounced placental mixed intervillositis. Inflammatory infiltrate caused extreme narrowing of intervillous space leading to placental malfunction and fetal death. Placental tissue SARS-CoV-2 infection was confirmed by positive immunohistochemistry staining of syncytiotrophoblasts with spike protein antibody. The case presented suggests that SARS-CoV-2 associated inflammatory placental changes pose an elevated risk for the fetus. SN - 2090-6684 UR - https://doi.org/10.1155/2022/5404952 DO - 10.1155/2022/5404952 JF - Case Reports in Obstetrics and Gynecology PB - Hindawi KW - ER -