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Cytomegalovirus infection

H L Brown1, M P Abernathy

  • 1Division of Maternal Fetal Medicine, Indiana University School of Medicine, Indianapolis, USA.

Seminars in Perinatology
|September 17, 1998
PubMed
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Cytomegalovirus (CMV) is a common perinatal infection. Primary CMV in mothers can cause congenital infections, leading to high mortality and severe neurological issues in infants, emphasizing the need for prevention education.

Area of Science:

  • Perinatology
  • Virology
  • Pediatric Infectious Diseases

Background:

  • Cytomegalovirus (CMV) infection is the most frequent perinatal infection, posing significant risks to fetal development.
  • Congenital CMV infections occur in 40-50% of infants born to mothers with primary CMV infection.
  • While many infected infants are asymptomatic at birth, a substantial percentage develop long-term sequelae.

Purpose of the Study:

  • To review the epidemiology and clinical outcomes of congenital Cytomegalovirus (CMV) infection.
  • To highlight the risks associated with primary versus recurrent CMV infections during pregnancy.
  • To underscore the importance of preventive measures due to limitations in current therapies.

Main Methods:

  • Review of existing literature on Cytomegalovirus (CMV) perinatal infections.

Related Experiment Videos

  • Analysis of data regarding congenital infection rates, symptomatic presentation, mortality, and long-term morbidity.
  • Evaluation of risks associated with different maternal CMV infection statuses and modes of transmission.
  • Main Results:

    • Primary maternal CMV infection leads to congenital infection in 40-50% of neonates, with 5-18% symptomatic at birth.
    • Mortality in symptomatic congenitally infected infants approaches 30%, and 80% of survivors experience severe neurological morbidity.
    • Asymptomatic infants may develop sequelae like visual and auditory defects in 10-15% of cases; recurrent/reactivated infections pose minimal fetal risk.

    Conclusions:

    • Congenital Cytomegalovirus (CMV) infection, particularly from primary maternal infections, presents a major threat to fetal health, causing significant mortality and morbidity.
    • Preventive strategies are crucial as current antimicrobial therapies and immunoprophylaxis for CMV are inadequate.
    • Educating pregnant women on CMV prevention is essential to mitigate the impact of this common perinatal infection.