TY - JOUR AU - Rubin, Elizabeth S.; Sansone, Stephanie A.; Hirshberg, Adi; Clement, Elizabeth G.; Srinivas, Sindhu K. TI - Detection of COVID-19 in a Vulvar Lesion SN - 0735-1631 SN - 1098-8785 PY - 2020 JO - Am J Perinatol JF - American Journal of Perinatology LA - EN VL - 37 IS - 11 SP - 1183 EP - 1184 DA - 2020/07/02 KW - COVID-19 KW - vulvar lesion KW - viral swab KW - vertical transmission KW - personal protective equipment AB - As new information about coronavirus disease 2019 (COVID-19) is rapidly discovered, clinicians are better equipped to make informed decisions for their patients. While current research suggests COVID-19 viral antigen is not found in vaginal secretions, its detectability in the female lower genital tract may have clinical implications for obstetric and gynecologic care for women. We present a case of a woman at 31 weeks' gestation with simultaneous upper respiratory symptoms and vulvovaginitis. She was found to have a vulvar lesion positive for severe acute respiratory syndrome-COVID by viral swab. This case shows that COVID-19 is detectable in the vulva. This may have implications for health care workers' exposure and personal protective equipment needs. While vertical transmission has largely not been reported, the presence of detectable virus in the female lower genital tract makes this a continued possibility and area of study.Key Points PB - Thieme Medical Publishers DO - 10.1055/s-0040-1713665 UR - http://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0040-1713665 ER -