We describe a case of a 37-year-old female, indicated for
in
vitro
fertilisation. She developed skin rash on her trunk and
limbs, during the treatment. RT-PCR results were positive in her blood and
negative in her husband's blood and semen. Oocyte aspiration was performed,
retrieving 7 oocytes, follicular fluid, and cumulus cells. RT-PCR results for
the follicular fluid and cumulus cells were negative for ZIKV, and positive for
only 2 oocytes. This is the first report in the literature analysing ZIKV in the
follicular fluid, cumulus cells, and oocytes, and will contribute to the
understanding of ZIKV infection and transmission.
Postmortem sperm retrieval has been used worldwide in assisted reproduction technology. Nevertheless, the laws vary from country to country according to cultural, ethical and religious reasons. However, for postmortem sperm retrieval to be used, it is necessary that a preview informed consent be signed by the couple. In this study, we describe a case where the husband died during the
in vitro
fertilization (IVF) treatment prior to egg retrieval, but we had no informed consent with a paragraph concerning this issue. Thus, the wife had to request a judicial authorization, which was given in the case of an emergency by the judge, to retrieve genetic material from her husband after his sudden death. This case report demonstrates the importance of adding a specific paragraph in the informed consent to address this issue. Otherwise, this case may be a cause of a judicial battle to obtain consent for its use in
in vitro
fertilization.
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