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Diagnóstico precoz de la infección congénita por citomegalovirus: oportunidades perdidas. [artículo]

Por: Becerril Morencos, Jesús [Pediatría] | Blázquez Gamero, Daniel [Pediatría] | Vergas Gutiérrez, Joaquín de [Otorrinolaringología] | Folgueira López, María Dolores [Microbiología y Parasitología] | Nuñez Ramos, Raquel [Pediatría] | Rojo Conejo, Pablo [Pediatría].
Colaborador(es): Servicio de Microbiología y Parasitología | Servicio de Pediatría-Neonatología | Servicio de Urgencias | Servicio de Otorrinolaringología.
Editor: Enfermedades Infecciosas y Microbiología Clínica, 2013Descripción: 31(2):93-6.Recursos en línea: Solicitar documento Resumen: Cytomegalovirus (CMV) infection is the most common congenital infection in Europe. Symptoms are present at birth in 10% of infected children, and up to 30-40% have some degree of hearing loss after the newborn period. METHODS: A retrospective study was performed over a period of 4 years and included all patients with congenital CMV infection diagnosed after the neonatal period using the dried blood spots from neonatal metabolic screening. RESULTS: We present 5 patients diagnosed with congenital CMV infection outside the neonatal period. The main reasons for consultation were hearing loss and/or neurological impairment in the first few months of life. DISCUSSION: Congenital CMV infection may be mildly symptomatic at birth, and present as hearing loss and/or neurological impairment in infancy. Therefore, a high degree of suspicion is necessary in order to make an accurate diagnosis and start specific treatment to improve the outcome.
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Formato Vancouver:
Nuñez-Ramos R, Becerril J, Blázquez D, Rojo P, de Vergas J, Folgueira D, et al. Diagnóstico precoz de la infección congénita por citomegalovirus: oportunidades perdidas. Enferm Infecc Microbiol Clin. 2013 Feb;31(2):93-6.


PMID: 22902268

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Cytomegalovirus (CMV) infection is the most common congenital infection in Europe. Symptoms are present at birth in 10% of infected children, and up to 30-40% have some degree of hearing loss after the newborn period.
METHODS: A retrospective study was performed over a period of 4 years and included all patients with congenital CMV infection diagnosed after the neonatal period using the dried blood spots from neonatal metabolic screening.
RESULTS: We present 5 patients diagnosed with congenital CMV infection outside the neonatal period. The main reasons for consultation were hearing loss and/or neurological impairment in the first few months of life.
DISCUSSION: Congenital CMV infection may be mildly symptomatic at birth, and present as hearing loss and/or neurological impairment in infancy. Therefore, a high degree of suspicion is necessary in order to make an accurate diagnosis and start specific treatment to improve the outcome.

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