Congenital cytomegalovirus infection from the viewpoint of otorhinolaryngologist

Diana Ugorová, Zuzana Polakovičová, Irena Dobišová, Ľubica Pejhovská, D. Chovancová, M. Profant, L. Varga
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Abstract

Abstract Congenital cytomegalovirus infection (cCMV) is the most common non-genetic cause of congenital sensorineural hearing loss (SNHL) and one of the most prevalent inborn infections. Its symptoms are variable, from thrombocytopenia to neurodevelopmental defects. Long-term consequences, including SNHL, occur in about 15% of newborns. However, they are often born asymptomatic and the SNHL develops later in childhood, leading to a high number of undia gnosed cases. Available dia gnostic methods vary in their reliability and require correct indication and subsequent interpretation of the results. A different approach represents the implementation of full-scale cCMV screening into the current neonatal screening programs. The goal of our review article is to summarize the currently available data about congenital CMV infection associated with hearing loss with particular emphasis on recent diagnostic strategies. Key words cytomegalovirus – newborn – screening – hearing loss
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从耳鼻喉科医生的角度看先天性巨细胞病毒感染
先天性巨细胞病毒感染(cCMV)是先天性感音神经性听力损失(SNHL)最常见的非遗传原因,也是最常见的先天性感染之一。它的症状是多种多样的,从血小板减少到神经发育缺陷。包括SNHL在内的长期后果发生在约15%的新生儿中。然而,他们通常出生时无症状,SNHL在儿童时期发展较晚,导致大量未确诊病例。现有诊断方法的可靠性各不相同,需要正确的指示和对结果的后续解释。另一种不同的方法是在当前的新生儿筛查方案中实施全面的cCMV筛查。我们的综述文章的目的是总结目前有关先天性巨细胞病毒感染与听力损失相关的可用数据,并特别强调最近的诊断策略。关键词巨细胞病毒新生儿筛查听力损失
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