苏丹喀土穆州先天性异常婴儿中人类巨细胞病毒(HCMV)的分子检测

Maha G Ebrahim, Aisha S. Ali, Mohamed O. Mustafa, D. Musa, A. R. E. El Hussein, I. Elkhidir, K. Enan
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引用次数: 4

摘要

人类巨细胞病毒(HCMV)感染仍然是人类最常见的潜在严重病毒并发症,也是婴儿先天性异常的主要原因。本研究旨在检测先天性异常婴儿的HCMV。研究对象为新生儿神经管缺损、脑积水和小头畸形。从喀土穆州不同医院收集了50份血清标本(20名男性,30名女性)。采用酶联免疫吸附试验(ELISA)检测血清巨细胞病毒特异性免疫球蛋白M (IgM)抗体,采用聚合酶链反应(PCR)检测巨细胞病毒DNA。在50份检测的血清中,1名患者(2%)的样本显示HCMV IgM,但未检测到DNA,其他4名(8.2%)的样本显示HCMV DNA阳性,但未检测到IgM。应考虑各种诊断技术来评估HCMV疾病,并应在这种情况下对孕妇进行HCMV常规筛查。开展来自不同地区的大量样本的进一步研究工作,以评估HCMV的患病率和特征,并评估其对孕产妇健康的影响,这一点至关重要。
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Molecular Detection of Human Cytomegalovirus (HCMV) Among Infants with Congenital Anomalies in Khartoum State, Sudan
Human Cytomegalovirus (HCMV) infection still represents the most common potentially serious viral complication in humans and is a major cause of congenital anomalies in infants. This study is aimed to detect HCMV in infants with congenital anomalies. Study subjects consisted of infants born with neural tube defect, hydrocephalus and microcephaly. Fifty serum specimens (20 males, 30 females) were collected from different hospitals in Khartoum State. The sera were investigated for cytomegalovirus specific immunoglobin M (IgM) antibodies using enzyme-linked immunosorbent assay (ELISA), and for Cytomegalovirus DNA using polymerase chain reaction (PCR). Out of the 50 sera tested, one patient’s (2%) sample showed HCMV IgM, but with no detectable DNA, other 4(8.2 %) sera were positive for HCMV DNA but with no detectable IgM. Various diagnostic techniques should be considered to evaluate HCMV disease and routine screening for HCMV should be introduced for pregnant women in this setting. It is vital to initiate further research work with many samples from different area to assess prevalence and characterize HCMV and evaluate its maternal health implications.
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