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Volume 32, Number 6—June 2026

Dispatch

Placental Vascular Pathology Associated with Congenital Lymphocytic Choriomeningitis Virus Infection, Philadelphia, Pennsylvania, USA

Abin Abraham, Rebecca L. Linn, Dustin D. Flannery, and Scott M. GordonComments to Author 
Author affiliation: Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA (A. Abraham, R.L. Linn, D.D. Flannery, S.M. Gordon); University of Pennsylvania Perelman School of Medicine, Philadelphia (R.L. Linn, D.D. Flannery, S.M. Gordon)

Main Article

Figure 3

Microscopic findings for placental vascular pathology associated with congenital lymphocytic choriomeningitis virus infection, Philadelphia, Pennsylvania, USA. Hematoxylin and eosin–stained cross-sections of placenta from case 1 (A, B) and case 2 (C–I). A) Avascular villi surrounded by pink perivillous fibrin (asterisks) with scattered foci of rust-colored hemosiderin deposition (arrows) within the hyalinized stroma. Original magnification ×200. B) Cluster of avascular villi in the center of the image (asterisk) with scattered intravillous lymphocytes (arrows), compatible with chronic villitis. Original magnification ×200. C) Plasma cells (arrow) within the basal plate, consistent with chronic deciduitis. Original magnification ×200. D) Chronic villitis and perivillitis involving stem villi vessels (circle), with an associated avascular villus (asterisk) and fibrin deposition (arrow). Original magnification ×100. E) Chronic villitis (asterisk) with villous stromal vascular karyorrhexis; arrows point to examples of extravasated, fragmented erythrocytes and nuclear debris. Original magnification ×100. F) Histiocytic intervillositis (arrows) adjacent to avascular villi (asterisks) with perivillous fibrin deposition. Original magnification ×400. G–I) Avascular villi with associated perivillous fibrin deposition (dashed ellipses). G) Original magnification ×40; H, I) original magnification ×100.

Figure 3. Microscopic findings for placental vascular pathology associated with congenital lymphocytic choriomeningitis virus infection, Philadelphia, Pennsylvania, USA. Hematoxylin and eosin–stained cross-sections of placenta from case 1 (A, B) and case 2 (C–I). A) Avascular villi surrounded by pink perivillous fibrin (asterisks) with scattered foci of rust-colored hemosiderin deposition (arrows) within the hyalinized stroma. Original magnification ×200. B) Cluster of avascular villi in the center of the image (asterisk) with scattered intravillous lymphocytes (arrows), compatible with chronic villitis. Original magnification ×200. C) Plasma cells (arrow) within the basal plate, consistent with chronic deciduitis. Original magnification ×200. D) Chronic villitis and perivillitis involving stem villi vessels (circle), with an associated avascular villus (asterisk) and fibrin deposition (arrow). Original magnification ×100. E) Chronic villitis (asterisk) with villous stromal vascular karyorrhexis; arrows point to examples of extravasated, fragmented erythrocytes and nuclear debris. Original magnification ×100. F) Histiocytic intervillositis (arrows) adjacent to avascular villi (asterisks) with perivillous fibrin deposition. Original magnification ×400. G–I) Avascular villi with associated perivillous fibrin deposition (dashed ellipses). G) Original magnification ×40; H, I) original magnification ×100.

Main Article

Page created: April 23, 2026
Page updated: June 01, 2026
Page reviewed: June 01, 2026
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