Table 2.
Main clinical manifestations and outcomes reported in studies of vertical transmission by CHIKV.
Reference/Country | Number of neonates | Gender | Clinical manifestation | Treatment | Outcome |
---|---|---|---|---|---|
Sahana M. Srinivas, G.C. Marlursiddappa Pradeep, 2018. India14 | 1 | Male | 11 days old fever, poor feeding, presumed sepsis, hyperpigmented macules on face and trunk, multiple small necrotic ulcers | Supportive measures and physiotherapy | Extensive dystrophic calcifications, atrophic scars and no deformities |
Shen et al., 2021 China and Myanmar15 | 3 | 2 males and 1 female | Disseminated maculopapular rash, fever, drowsiness, arthralgia | Antibiotics, antypretic. The female baby received antiviral treatment (IFNB-1a 800,000 IU bid) | They progressed favorably and was discharged asymptomatic |
Fajardo et al., 2021. Brazil16 | 2 | Females | No symptoms in the first weeks of life. Developmental delay observed from 83 days of life. | Clinical monitoring of neurodevelopment | Neurocognitive delay up to 3 years of age |
Sreekanth et al., 2022. India17 | 1 | Female | Six-day old late onset sepsis, seizures, cranial hemorrhage, maculopapular rash, perioral hyperpigmenation | Phenobarbital, fresh frozen plasma, red blood cell transfusion, IVIG 1 g/Kg on the 7th and 9th days of admission | On follow up at three months, neurological examination was normal |
Faustino et al., 2022. Brazil18 | 33 | 57.6 % male | Fever (79 %), myalgia (100 %), arthralgia (100 %) One presented neurodevelopment delay and one presented pos natal sepsis | Not described | At 3-months only one child presented neurological alterations |
Torres et al., 2022. Brazil19 | 3 | 3 females | Fever, jaundice, thrombocytopenia, apnea, seizures, maculopapular rash | Antibiotics | One baby evolved with altered brain image on magnetic resonance |
Sagay, et al. 2024. Nigeria20 | 26 | Not described | Not described | Not described | Three stillbirths, two multiple congenital anomalies, one polydactyly with sepsis and jaundice, and one preterm |