5 responses to “Diagnosis and management of congenital cytomegalovirus infection”

  1. I will consider the Investigation with the history of new born hearing loss

  2. I will definitely be on the lookout for this devastating long term condition.

  3. Interestingly I just saw a woman who wants to have children but was found to have a chronic CMV infection, diagnosed at onset years ago and who has recurrent symptomatic flares. Is there any role for treatment pre-pregnancy, for prenatal treatment, or for starting at birth for presumed in uteru transmission?

  4. Hi Liz,
    This is not a straightforward question. In immunocompetent people, symptoms of only occur (in a minority of) primary CMV infections, and so recurrent symptoms would suggest either an immunologic defect or an alternate diagnosis. There are no specific interventions available to reduce the risk of congenital CMV transmission through reactivation of chronic infection. I’d be happy to discuss this case or these issues with you if you’d like.

  5. I seem to have quite a few babies fail the initial hearing screen (often in 1 ear) while in hospital (24-72 hours of age) so they repeat the screen as an outpatient and most often pass. Would you recommend CMV testing in those babies or wait until the repeat screen is done (which seems to take 1-2 weeks)? Thanks for this article as well!

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