Brief report: autistic disorder in three children with cytomegalovirus infection

Thayne L Sweeten1, David J Posey, Christopher J McDougle

  • 1Department of Psychiatry, Indiana University School of Medicine, Indianapolis, IN 46202-4800, USA.

Insights

Congenital cytomegalovirus (CMV) infection may be linked to autism development. Understanding the immune response to infections like CMV could reveal insights into autism

Area of Science:

  • Neurodevelopmental disorders
  • Infectious diseases
  • Immunology

Background:

  • Autism spectrum disorder (ASD) is a complex neurodevelopmental condition.
  • Previous studies suggest a potential link between congenital infections and ASD.
  • Cytomegalovirus (CMV) is a common congenital infection.

Observation:

  • Three cases are presented where autism was diagnosed in infants with congenital or perinatal CMV infection.
  • These cases highlight a potential association between CMV exposure and autism.

Findings:

  • The study explores hypothetical mechanisms connecting congenital infections, specifically CMV, to the development of autism.
  • It suggests that the immune system's reaction to CMV might play a role.

Implications:

  • Further research into the immunologic responses to congenital infections like CMV is warranted.
  • This understanding may offer crucial insights into the pathophysiology and etiology of autism in susceptible individuals.
  • Investigating infectious triggers could lead to novel diagnostic or therapeutic strategies for ASD.

Related Concept Videos

Cytomegalovirus Disease01:27

Cytomegalovirus Disease

Cytomegalovirus (CMV) disease is caused by human cytomegalovirus, a double-stranded DNA virus of the Herpesviridae family. While primary CMV infection is often asymptomatic in immunocompetent individuals, the virus can cause severe disease in neonates and immunocompromised patients. CMV is the most common cause of congenital viral infection in the United States, and a major pathogen in solid organ and hematopoietic stem cell transplant recipients.CMV is transmitted via bodily fluids, sexual...
Autism Spectrum Disorder01:19

Autism Spectrum Disorder

Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
Viral Meningitis01:18

Viral Meningitis

Viral meningitis is the most common form of meningitis and is often referred to as aseptic meningitis to indicate the absence of bacterial involvement. It is generally milder than bacterial meningitis, with symptoms including fever, headache, stiff neck, drowsiness, nausea, photophobia, and vomiting. Rarely, more severe manifestations or death may occur. Common causative agents include enteroviruses, particularly coxsackie A and B viruses and echoviruses, all members of the Enterovirus genus...
Poliomyelitis01:17

Poliomyelitis

Poliomyelitis is caused by poliovirus, a small, non-enveloped, positive-sense RNA virus of the Picornaviridae family and Enterovirus genus. Transmission occurs primarily via the fecal-oral route, often through ingestion of contaminated water or food. The virus initially replicates in the oropharynx and intestinal mucosa, particularly in lymphoid tissues such as the tonsils, Peyer’s patches, and regional lymph nodes. Primary viremia follows, allowing dissemination throughout the body.In most...
Encephalitis l: Introduction01:19

Encephalitis l: Introduction

Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...