Congenital cytomegalovirus infection: a cause of sensorineural hearing loss

C S Peckham1, O Stark, J A Dudgeon

  • 1Institute of Child Health, London.

Insights

Congenital cytomegalovirus (CMV) infection is a significant cause of sensorineural hearing loss in children. Studies show CMV is prevalent in children with hearing impairment, highlighting its role in this condition.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Audiology

Background:

  • Congenital cytomegalovirus (CMV) infection is a leading cause of non-genetic sensorineural hearing loss in children.
  • An estimated 108 children with congenital CMV and bilateral sensorineural hearing loss are born annually in England and Wales, accounting for 12% of cases.

Purpose of the Study:

  • To investigate the prevalence of congenital CMV infection in children with sensorineural hearing loss.
  • To determine the association between CMV infection and the severity of hearing loss in young children.

Main Methods:

  • A nine-year prospective study screened 1644 children (6 months to 4 years) attending a specialized hearing and speech center.
  • CMV infection was diagnosed via urine screening.

Main Results:

  • The prevalence of CMV was nearly double (13%) in children with sensorineural hearing loss and no family history of deafness, compared to children with other forms of hearing impairment (7%) and those with normal hearing (7%).

Conclusions:

  • Congenital cytomegalovirus (CMV) is a significant etiological factor in pediatric sensorineural hearing loss.
  • Early screening for CMV in infants with hearing loss is crucial for timely diagnosis and intervention.

Related Concept Videos

Unrenewable Cells00:50

Unrenewable Cells

In humans, the photoreceptor cells of the eye and sensory hair cells of the ear lack stem cells. These cells are thus unrenewable and cannot be replaced when they are damaged or destroyed.
Photoreceptors
The retina is composed of several layers and contains specialized cells called photoreceptors. The photoreceptors (rods and cones) change their membrane potential when stimulated by light energy. There are two types of photoreceptors—rods and cones—which differ in the shape of their outer...
Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
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...
Cryptococcal Meningitis01:27

Cryptococcal Meningitis

Cryptococcal meningitis is a life-threatening opportunistic infection predominantly associated with HIV/AIDS, accounting for over 100,000 deaths annually worldwide. However, it also affects individuals with other forms of immunosuppression, including those undergoing immunosuppressive therapy, organ transplant recipients, patients with innate immunodeficiencies, and individuals with hematological disorders. The infection is caused mainly by Cryptococcus neoformans and Cryptococcus gattii,...