id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-282920-s4yixzuy	Rubin, Elizabeth S.	Detection of COVID-19 in a Vulvar Lesion	2020-07-02		.txt	text/plain	969	54	49	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. 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. Given her other reported symptoms, a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) nasopharyngeal test was also ordered, and the patient was instructed to have the test performed at an offsite outpatient testing site specifically designated for this purpose. This patient represents the first reported case of SARS-CoV-2 viral shedding detected in a vulvar lesion. [4] [5] [6] Finally, while vertical transmission of COVID-19 to fetuses and newborns has not been definitively shown, 7-9 the presence of detectable virus in the lower genital tract should prompt continued studies into this possibility. SARS-CoV-2 is not detectable in the vaginal fluid of women with severe COVID-19 infection	./cache/cord-282920-s4yixzuy.txt	./txt/cord-282920-s4yixzuy.txt