Tuberous Sclerosis Complex with Diffuse Cytomegalovirus Fetal Infection: Case Report and Review of the Literature

N. Jin, S. Shuja, C. Monteiro, R. Makary
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Abstract

We report a case of a stillborn female fetus with combined stigmata of Tuberous Sclerosis Complex (TSC) and cytomegalovirus (CMV) infection. The baby was premature and small for gestational age (1625g). The heart showed multiple cardiac rhabdomyomas. The brain showed cortical tubers and subependymal nodule. Renal cysts are present. Autopsy also revealed multiple organ infected by CMV including lungs, liver and kidneys. The mother was 24 year old. The placental gross findings show multiple hematoma and infarction on maternal side, acute chorionitis with cytomegalovirus infection, chronic deciduitis and focal chronic villitis, might be the cause of the intrauterine demise of the fetus
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结节性硬化症合并弥漫性巨细胞病毒胎儿感染:病例报告及文献复习
我们报告一例死产女胎儿合并结节性硬化症(TSC)和巨细胞病毒(CMV)感染。婴儿早产,小于胎龄(1625g)。心脏显示多发横纹肌瘤。脑可见皮质结节和室管膜下结节。肾囊肿。尸检还发现有多器官感染巨细胞病毒,包括肺、肝和肾。母亲24岁。胎盘肉眼检查显示母体多发血肿及梗死,急性绒毛膜炎伴巨细胞病毒感染,慢性蜕膜炎及局灶性慢性绒毛炎可能是胎儿宫内死亡的原因
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