{"id":2155,"date":"2022-08-04T17:09:19","date_gmt":"2022-08-04T05:09:19","guid":{"rendered":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/?page_id=2155"},"modified":"2022-09-06T15:43:48","modified_gmt":"2022-09-06T03:43:48","slug":"congenital-cytomegalovirus","status":"publish","type":"page","link":"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/microbiology-resources\/how-do-i-diagnose\/congenital-cytomegalovirus\/","title":{"rendered":"Congenital Cytomegalovirus"},"content":{"rendered":"\n<p><strong>Infection:<\/strong> Congenital Cytomegalovirus (CMV) infection<\/p>\n\n\n\n<p>Also refer to: <a href=\"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/microbiology-resources\/how-do-i-diagnose\/cytomegalovirus\/\">How do I diagnose &#8211; CMV<\/a> <\/p>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Brief description:<\/summary><div class=\"ab-accordion-text\">\n<ul><li>CMV is the commonest cause of congenital infection.<\/li><li>It causes a self-limiting infection in immune-competent children and adults, however infection of the developing fetus can cause more serious sequelae.<\/li><li>Most pregnant women with CMV infection will not pass it to their fetus.<\/li><li>If fetal infection occurs, around 10-20% of children will develop long-term sequelae.<\/li><\/ul>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Did you know?<\/summary><div class=\"ab-accordion-text\">\n<ul><li>Primary (acute) infection during pregnancy may result in fetal infection in up to ~40% of cases, whereas with reactivation\/reinfection in women with past CMV it is ~1%.<\/li><li>However, because past infection in many populations is far more common than acute infection during pregnancy, on a population level, reactivation\/reinfection is usually responsible for more congenital CMV infections overall.<\/li><\/ul>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\"><strong>Diagnostic approach:<\/strong><\/summary><div class=\"ab-accordion-text\">\n<ul><li>Routine screening in pregnant women is not recommended.<\/li><li>Test in pregnant women with mononucleosis-like illness.<\/li><li>Test in pregnant women with fetal USS findings that may suggest congenital infection.<ul><li>Bilateral cerebral periventricular calcifications are the most characteristic findings.<\/li><\/ul><ul><li>A number of other USS findings may be seen, including other CNS abnormalities, hyperechoic bowel, IUGR, ascites\/pleural\/pericardial effusion, hepatosplenomegaly.<\/li><\/ul><\/li><\/ul>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Antenatal diagnosis test of choice: maternal mononucleosis-like illness<\/summary><div class=\"ab-accordion-text\">\n<p><strong>If maternal mononucleosis-like illness) <\/strong>request<strong> \u201c<\/strong><a href=\"https:\/\/scg.aphg.co.nz\/#!\/WEL\/details\/CMV\"><strong>CMV<\/strong> <strong>serology<\/strong><\/a>&#8220;:<\/p>\n\n\n\n<p><strong>CMV IgG <\/strong>indicates infection <strong>at some point in time <\/strong>(can be acute <strong>or<\/strong> past infection)<\/p>\n\n\n\n<ul><li>Excellent <strong>sensitivity<\/strong> &#8211; negative result <strong>excludes<\/strong> CMV infection (unless tested <strong>within the first 2-3 weeks<\/strong> of symptoms)<\/li><li>Excellent <strong>specificity<\/strong> &#8211; positive result <strong>confirms<\/strong> infection at some stage<\/li><\/ul>\n\n\n\n<p><strong>CMV IgM<\/strong> is used to diagnose <strong>primary (acute) infection<\/strong><\/p>\n\n\n\n<ul><li>Good <strong>sensitivity<\/strong> &#8211; negative result makes <strong>primary infection unlikely<\/strong><\/li><li>Poor<strong> specificity &#8211; positive <\/strong>result<strong> doesn\u2019t necessarily indicate acute infection<\/strong><\/li><li>IgM can remain positive for many months after resolved primary infection, or reappear with other unrelated illnesses<\/li><li>Because of the importance of diagnosing acute CMV in pregnancy, women with a positive IgM should be <strong>discussed with a clinical microbiologist<\/strong> regarding further confirmatory testing (which may include <strong>CMV IgG avidity testing<\/strong>).<\/li><\/ul>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Antenatal diagnosis test of choice: abnormal USS findings<\/summary><div class=\"ab-accordion-text\">\n<p><strong>If abnormal USS findings): <\/strong>request<strong> \u201c<a href=\"https:\/\/scg.aphg.co.nz\/#!\/WEL\/details\/CMV\">CMV serology<\/a>\u201d<\/strong><\/p>\n\n\n\n<p><strong>CMV IgG <\/strong>indicates infection<strong> at some point in time <\/strong>(can be acute<strong> or <\/strong>past infection)<\/p>\n\n\n\n<ul><li>Excellent <strong>sensitivity<\/strong> &#8211; negative result <strong>excludes congenital CMV<\/strong> as cause of USS findings<\/li><li>Poor <strong>specificity<\/strong> &#8211; positive result indicates <strong>maternal infection<\/strong> at some point in time, but gives no indication as to whether infection may have passed to fetus<\/li><\/ul>\n\n\n\n<p>If the CMV IgG is positive then the decision on whether to pursue further investigations to determine whether the fetus is infected is complicated and invasive, and should be <strong>in conjunction with a maternal fetal medicine specialist<\/strong>.<\/p>\n\n\n\n<p>Factors influencing decisions include:<\/p>\n\n\n\n<ul><li>Would confirming infection alter management during the pregnancy, or can it wait until baby is born (at which point diagnosis is straightforward)?<\/li><li>How suggestive of congenital CMV are the USS findings?<\/li><li>Is the CMV IgM also positive (i.e. possible recent acute maternal infection)?<\/li><\/ul>\n\n\n\n<p>If antenatal diagnosis is pursued, then <strong>amniocentesis<\/strong> <strong>for<\/strong> <strong><a href=\"https:\/\/scg.aphg.co.nz\/#!\/WEL\/details\/CVL\">CMV PCR<\/a><\/strong> is the test of choice:<\/p>\n\n\n\n<ul><li>Sensitivity is <strong>excellent<\/strong> if performed <strong>&gt;20 weeks gestation<\/strong> and <strong>&gt;6 weeks after possible primary maternal infection<\/strong>, otherwise sensitivity is lower.<\/li><\/ul>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\">Postnatal diagnosis test of choice:<\/summary><div class=\"ab-accordion-text\">\n<p>Request<strong> \u201cCMV PCR on infant <a href=\"https:\/\/scg.aphg.co.nz\/#!\/WEL\/details\/_ptg781\">urine <\/a>(or saliva)\u201d<\/strong><\/p>\n\n\n\n<p>If performed <strong>within the first 21 days of life<\/strong><\/p>\n\n\n\n<ul><li>Excellent<strong> sensitivity&nbsp;&#8211; <\/strong>negative result<strong> excludes <\/strong>congenital CMV infection<\/li><li>Excellent<strong> specificity &#8211; <\/strong>positive result<strong> confirms <\/strong>congenital CMV infection<\/li><\/ul>\n\n\n\n<p>If performed after this time period, results can be <strong>difficult to interpret<\/strong>, as they could represent <strong>post-natally-acquired<\/strong> CMV infection. Discuss with a clinical microbiologist.<\/p>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\"><strong>Tests to avoid\/specialist tests:<\/strong><\/summary><div class=\"ab-accordion-text\">\n<p><strong>CMV PCR\/viral load on blood:<\/strong><\/p>\n\n\n\n<ul><li>This is seldom used in this context, and only under the guidance of a clinical microbiologist.<\/li><\/ul>\n\n\n\n<p><strong>CMV PCR<\/strong> on \u2018Guthrie\u2019\/\u2019newborn blood spot card\u2019<\/p>\n\n\n\n<ul><li>Has poor sensitivity, but sometimes used under specialist guidance if unable to obtain urine sample in first 21 days of life.<\/li><\/ul>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-accordion ab-block-accordion\"><details><summary class=\"ab-accordion-title\"><strong>Other considerations:<\/strong><\/summary><div class=\"ab-accordion-text\">\n<ul><li>Confirmation of congenital infection in a fetus or neonate only tells you congenital infection <strong>has occurred<\/strong>, it <strong>does not tell you<\/strong> whether the infection will cause <strong>sequelae<\/strong> or not.<\/li><li>If primary infection is suspected during pregnancy, the antenatal \u2018booking\u2019 sample can often be retrieved for parallel testing to determine if the woman already had past CMV infection.<\/li><\/ul>\n<\/div><\/details><\/div>\n","protected":false},"excerpt":{"rendered":"Infection: Congenital Cytomegalovirus (CMV) infection Also refer to: How do I diagnose &#8211; CMV","protected":false},"author":18,"featured_media":0,"parent":2060,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-left-sidebar.php","meta":{"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Congenital Cytomegalovirus &#8212; Awanui Labs \u2013 Otago, Southland<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.awanuilabs.co.nz\/south\/otagosouthland\/referrers\/microbiology-resources\/how-do-i-diagnose\/congenital-cytomegalovirus\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Congenital Cytomegalovirus &#8212; Awanui Labs \u2013 Otago, Southland\" \/>\n<meta property=\"og:description\" content=\"Infection: Congenital Cytomegalovirus (CMV) infection Also refer to: How do I diagnose &#8211; 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