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Published on: July 24, 2016
Congenital cytomegalovirus infection ‒ a problem of past, present and future
Insights
Congenital cytomegalovirus (CMV) infection in newborns can present with varied prenatal and postnatal findings, including brain calcifications and neurological changes. Early detection and intervention are crucial for managing affected infants and preventing long-term complications.
Area of Science:
- Neonatal Medicine
- Infectious Diseases
- Pediatrics
Background:
- Congenital cytomegalovirus (CMV) infection is a significant cause of neonatal morbidity.
- Understanding the spectrum of clinical manifestations and diagnostic findings is essential for timely management.
Purpose of the Study:
- To analyze the prenatal and postnatal characteristics of newborns with congenital CMV infection.
- To review clinical and laboratory findings, and investigation results in affected neonates.
Main Methods:
- Retrospective analysis of 11 newborns diagnosed with congenital CMV infection.
- Inclusion criteria: hospitalization at the Neonatal Department of Intensive Medicine between January 1st, 2012, and March 31st, 2022.
Main Results:
- Prenatal sonography identified brain calcifications and ventriculomegaly in several cases.
- Neurological examinations revealed varying degrees of muscular tonicity and spontaneous activity changes.
- Auditory and ophthalmological assessments indicated abnormalities such as unilateral positive otoacoustic emissions and chorioretinitis.
Conclusions:
- Findings highlight the diverse clinical presentations of congenital CMV infection in neonates.
- Public health strategies, including population education and infection monitoring, are vital for prevention.
- Early detection and appropriate treatment, including antiviral therapy, are critical for improving outcomes.
Aim:
To analyse prenatal and postnatal characteristics, clinical and laboratory findings, results of investigations in the group of 11 newborns with congenital CMV infection, who were hospitalized at Neonatal Department of Intensive Medicine between January 1st 2012 and March 31st, 2022 were included.
Results:
Prenatal foetal sonography revealed in patients 5 and 8, positive calcifications in the brain; in patients 6, 9 and 11, isolated ventriculomegaly was found. Neurological examination was clinically negative in patients 1 and 10, changes of muscular tonicity and spontaneous activity were confirmed in the rest of the group. In patients 5 and 10, one-sided positivity of otoacoustic emissions was confirmed. Chorioretinitis with bilateral negative otoacoustic emissions was confirmed in patient 5. Clinical status of patient 11 was complicated by pneumonitis. Three patients were treated with antiviral drugs orally, and 11 newborns had a combination of intravenous and oral form of treatment.
Conclusion:
The results of analysis will contribute to a society-wide solution of prevention. Monitoring of the frequency of CMV infection in the population with education of the population can decrease the number of affected newborns (Tab. 4, Ref. 29).
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