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Fetal and pediatric pathology2009; 28(6); 274-278; doi: 10.1080/15513810903203206

Stillborn infant with calcified chorionic epithelium, corneal scarring, and pericarditis.

Abstract: This autopsy of a stillborn term infant revealed a constellation of unusual features including calcification of the chorion membrane and portions of the umbilical vascular media, extensive white matter gliosis, arthrogryposis multiplex congenita, adhesions of one eyelid to the globe, pericarditis, a miniature left foot, and a cleft palate. We hypothesized that the membrane and umbilical cord lesions resulted from an episode of resolved chorioamnionitis earlier in the pregnancy. Mare reproductive loss syndrome (MRLS) demonstrates a bacteremic infection of the amniotic cavity, pericarditis, and uniocular endophthalmitis in the mare. On the basis of analogy, we speculated that this infant suffered an intrauterine bacteremia with tissue predilection similar to that of MRLS.
Publication Date: 2009-10-22 PubMed ID: 19842882DOI: 10.1080/15513810903203206Google Scholar: Lookup
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Summary

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The research article discusses an autopsy analysis of a stillborn baby that displayed a number of abnormal features, and theorizes that these were caused by an early prenatal infection similar to Mare reproductive loss syndrome (MRLS) found in horses.

Objective Overview

The researchers examined the body of a stillborn baby who had numerous uncommon features. The features included the calcification or hardening of certain fetal membranes and parts of the umbilical cord, the development of toughened tissue in the brain’s white matter, deformities of the limbs and an underdeveloped left foot, damage to one eye, inflammation of the heart lining, and a split in the upper lip or roof of the mouth. They suggest that these symptoms indicate a previously resolved bacterial infection in the womb that closely resembles Mare reproductive loss syndrome, a disease typically found in horses.

Detailed Explanation of the Research Paper

Below is a more detailed breakdown of the key points made within the research paper:

  • Background: The infant in question was stillborn and upon autopsy presented an unusual combination of features. This included the hardening of fetal membranes (chorion) and parts of the umbilical cord, inflammation of the heart lining, a smaller left foot, a split in the upper lip or roof of the mouth, abnormally developed joints, the formation of scar tissue in parts of the brain associated with thought and motor control, and damage to one eye.
  • Mare Reproductive Loss Syndrome (MRLS): This is a disease typically known to affect horses – more specifically, pregnant mares. It manifests as a bacterial infection of the amniotic cavity, inflammation of the heart lining, and an infection that affects one eye. The syndrome results in mares losing their foals during pregnancy or shortly after birth.
  • The Hypothesis: The study’s authors implicated a bacterial infection that might have occurred earlier in the pregnancy as being the causative factor behind the strange symptoms observed in the stillborn infant. As the features were similar to some aspects of MRLS, they suggested that the human fetus may have been subjected to an intrauterine bacteremia (presence of bacteria in the blood) with a similar result.
  • Significance: If the researchers’ hypothesis is correct, this could mean that the stillborn baby’s condition might be a previously undocumented human analog to MRLS. It also raises important questions about how bacterial infections in pregnant women might negatively affect fetal development.

Cite This Article

APA
Bendon RW, Sebastian MM. (2009). Stillborn infant with calcified chorionic epithelium, corneal scarring, and pericarditis. Fetal Pediatr Pathol, 28(6), 274-278. https://doi.org/10.1080/15513810903203206

Publication

ISSN: 1551-3823
NlmUniqueID: 101230972
Country: England
Language: English
Volume: 28
Issue: 6
Pages: 274-278

Researcher Affiliations

Bendon, Robert W
  • Department of Pathology, Kosair Children's Hospital, Louisville, KY 40232-5070, USA. Bendon@ix.netcom.com
Sebastian, Manu M

    MeSH Terms

    • Animals
    • Animals, Newborn
    • Calcinosis / veterinary
    • Chorion / pathology
    • Cleft Lip / pathology
    • Cleft Lip / veterinary
    • Cleft Palate / pathology
    • Cleft Palate / veterinary
    • Corneal Opacity / pathology
    • Female
    • Horse Diseases / pathology
    • Horses
    • Male
    • Pericarditis / pathology
    • Pericarditis / veterinary
    • Pregnancy
    • Stillbirth / veterinary

    Citations

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