"最小症状"的先天性细胞巨乳病毒感染:最新数据和新兴概念
Ashley Howard1,2, Javier K Nishikawa3, Pablo J Sánchez4
1Department of Pediatric Infectious Diseases and Immunology, Connecticut Children's Hospital, Hartford, Connecticut.
Current opinion in pediatrics
|May 15, 2024
概括
新生儿对先天性细胞巨化病毒 (CMV) 的查正在增加. 抗病毒治疗可能有助于一些婴儿的听力,但没有症状的婴儿不应该接受治疗.
科学领域:
- 病毒学 病毒学
- 新生儿医学 新生儿医学
- 公共卫生 公共卫生
背景情况:
- 在新生儿中对先天性细胞巨化病毒 (CMV) 感染的查正在全球范围内扩大.
- 对于患有先天性CMV的婴儿的治疗策略,特别是那些有轻度或没有症状的婴儿,需要澄清.
研究的目的:
- 审查与先天性CMV感染的新生儿的当前管理.
- 专注于症状最小或亚临床感染的婴儿,包括那些有感觉神经听力损失 (SNHL) 的婴儿.
主要方法:
- 审查当前的临床实践和关于先天性CMV管理的最新研究.
- 对新生儿抗病毒治疗疗效和结果的分析.
主要成果:
- 瓦尔甘西克洛维尔越来越多地用于新生儿的先天性CMV,显示出可能改善2岁以下的听力.
- 建议在有症状的婴儿早期 (第一个月) 开始治疗.
- 在1-3个月开始治疗的婴儿有不明显的CMV和孤立的SNHL的听力有所改善.
结论:
- 抗病毒疗法 (ganciclovir/valganciclovir) 在预防有症状的婴儿或SNHL的婴儿听力下降方面提供了适度的益处.
- 抗病毒治疗超过2年的长期益处是未知的.
- 临床上不明显的CMV感染和正常评估的婴儿不应该接受抗病毒治疗.
- 所有患有先天性CMV的婴儿都需要持续的听力学和神经发育监测.
更多相关视频
08:08qPCR Is a Sensitive and Rapid Method for Detection of Cytomegaloviral DNA in Formalin-fixed, Paraffin-embedded Biopsy Tissue
Published on: July 9, 2014
15.8K
05:51Intracerebroventricular and Intravascular Injection of Viral Particles and Fluorescent Microbeads into the Neonatal Brain
Published on: July 24, 2016
19.5K
相关概念视频
Cystic Fibrosis: Pathogenesis
Cystic fibrosis (CF), an autosomal recessive disorder, significantly affects the function of exocrine glands. This genetically inherited disease is characterized by the production of thick and sticky mucus, which can severely affect various organs and systems in the body.
CF is primarily caused by a genetic mutation in a chromosome 7 gene coding for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. The most common gene mutation leading to CF is the ΔF508 mutation, but...
CF is primarily caused by a genetic mutation in a chromosome 7 gene coding for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. The most common gene mutation leading to CF is the ΔF508 mutation, but...
Human Virome
The human body harbors a vast and diverse viral community known as the human virome. The virome includes bacteriophages that infect bacteria, and eukaryotic viruses that infect human cells. Transient dietary and environmental viruses also contribute to this dynamic ecosystem. Estimates suggest the human body may contain on the order of 10¹³ viral particles, though abundance varies widely by body site and detection method.Comprehensive characterization of the virome has become possible only with...
Infectious Diseases and Their Occurrence
Infectious diseases appear in populations through various transmission patterns, influenced by pathogen characteristics, population immunity, environmental conditions, and social behavior. Understanding these patterns is essential for effective public health surveillance and intervention. These categories—sporadic, outbreak, epidemic, pandemic, and endemic—help frame the nature and scope of disease events.Sporadic diseases occur irregularly and infrequently, without a predictable temporal or...
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...
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...
Encephalitis ll: Pathophysiology
Encephalitis is inflammation of the brain parenchyma caused by direct viral invasion or immune-mediated mechanisms triggered by infections or tumors. Both processes lead to neuronal injury, disrupted neurotransmission, and diverse neurological symptoms, often with overlapping clinical and pathological features.Autoimmune EncephalitisIn autoimmune encephalitis, antibodies target neuronal antigens on cell surfaces, synapses, or within neurons. A key example is anti-NMDAR encephalitis, which can...
