Testing for Cytomegalovirus in Pregnancy

Author:

Saldan Alda1,Forner Gabriella1,Mengoli Carlo1,Gussetti Nadia2,Palù Giorgio1,Abate Davide1

Affiliation:

1. Department of Molecular Medicine, University of Padua, Padua, Italy

2. Padua Reference Center for Infections in Pregnancy, Padua General Hospital, Padua, Italy

Abstract

ABSTRACT Congenital cytomegalovirus (CMV) infection represents a relevant cause of deafness and neurological damage in newborns. Intrauterine CMV transmission might result after primary or nonprimary infections, though at different rates (30% versus 0.2%, respectively). At present, a prenatal diagnosis of CMV infection is based mainly on maternal serology, the detection of CMV-DNA in amniotic fluid and fetal blood, and ultrasound (US) and magnetic resonance imaging (MRI). Recent evidences suggest that congenital CMV infection may be an immune-mediated disease and that evaluation of humoral and especially T-cell immunities may improve the overall prenatal diagnosis. This review summarizes the most recent advancements in the diagnosis of maternal and prenatal CMV infections.

Funder

Università degli Studi di Padova

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

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