Congenital cytomegalovirus infection: on the relation between type and time of maternal infection and infant's symptoms.

作者: Karin Ahlfors , Marianne Forsgren , Sten-Anders Ivarsson , Sten Harris , Lars Svanberg

DOI: 10.3109/INF.1983.15.ISSUE-2.01

关键词: SerologyImmunologySecondary infectionAsymptomaticPediatricsCongenital cytomegalovirus infectionOffspringPregnancyAbortionFetusMedicine

摘要: Maternal sera from 45 live-born infants with congenital cytomegalovirus (CMV) infection and 4 cases of legal abortion were analysed for CMV IgG IgM. The investigation included routine work prospective studies unselected infants. purpose was to elucidate the relation between maternal type time signs symptoms offspring at birth follow-up. Serological patterns compatible primary during trimesters I II, but also secondary (in least 1 case), associated infant sequelae or death. Asymptomatic found after in II III infection. Virus could not be isolated some fetuses legally aborted due trimester I. Attempts demonstrate IgM activity as a marker active early pregnancy (period abortion) successful only half 10 Symptoms prognostically serious, further course sometimes uneventful even neonatal cerebral A few children without initial developed (impairment hearing).

参考文章(32)
James Barry Hanshaw, John Alastair Dudgeon, Viral Diseases of the Fetus and Newborn ,(1984)
N E Cremer, N J Schmidt, F Jensen, M Hoffman, L S Oshiro, E H Lennette, Complement-fixing antibody in human sera reactive with viral and soluble antigens of cytomegalovirus. Journal of Clinical Microbiology. ,vol. 1, pp. 262- 267 ,(1975) , 10.1128/JCM.1.3.262-267.1975
Herman Friedman, Noel R. Rose, Manual of clinical immunology American Society for Microbiology. ,(1976)
Robert F. Pass, Gary J. Myers, Sergio Stagno, Charles A. Alford, Outcome of Symptomatic Congenital Cytomegalovirus Infection: Results of Long-Term Longitudinal Follow-up Pediatrics. ,vol. 66, pp. 758- 762 ,(1980)
John Louis Sever, Application of a microtechnique to viral serological investigations. Journal of Immunology. ,vol. 88, pp. 320- 329 ,(1962)
Donald W. Ziegler, Violeta Knez, John A. Stewart, Cytomegalovirus Specific IgM and IgG Response in Humans Studied by Radioimmunoassay Journal of Immunology. ,vol. 117, pp. 2006- 2013 ,(1976)
P V Shirodaria, K B Fraser, F Stanford, Secondary fluorescent staining of virus antigens by rheumatoid factor and fluorescein-conjugated anti-IgM. Annals of the Rheumatic Diseases. ,vol. 32, pp. 53- 57 ,(1973) , 10.1136/ARD.32.1.53
David W. Reynolds, Sergio Stagno, Thomas S. Hosty, Mary Tiller, Charles A. Alford, Maternal cytomegalovirus excretion and perinatal infection. The New England Journal of Medicine. ,vol. 289, pp. 1- 5 ,(1973) , 10.1056/NEJM197307052890101
E Lauber, U Krech, K Schopfer, Congenital cytomegalovirus infection in newborn infants of mothers infected before pregnancy. Archives of Disease in Childhood. ,vol. 53, pp. 536- 539 ,(1978) , 10.1136/ADC.53.7.536