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由具有既往免疫力的女性传播的先天性巨细胞病毒感染中的皮质发育异常。

Cortical maldevelopment in congenital cytomegalovirus infection transmitted by a woman with preexisting immunity.

作者信息

Arpino C, Gattinara G Castelli, Rosso M, Pelliccia A, Fariello G, Curatolo P

机构信息

Department of Neurosciences, Paediatric Neurology Unit, Tor Vergata University of Rome, Rome, Italy.

出版信息

J Neurovirol. 2008 Apr;14(2):173-6. doi: 10.1080/13550280801908166.

DOI:10.1080/13550280801908166
PMID:18444089
Abstract

Although cytomegalovirus (CMV) congenital infection is more severe in children born to women with primary infection, neurological symptoms have also been observed in infants born to mothers with preconceptional immunity. The authors describe for the first time a case of severe cortical development disorder associated with multiple abnormalities of the white matter, occurring in the second-born child of a woman found to be positive for anti-CMV immunoglobulin G (IgG) before pregnancy. CMV DNA was detected in the urine and blood of the infant. These findings indicate that the neurological outcome of CMV infection may be severe also in infants born to women with preexisting immunity.

摘要

尽管巨细胞病毒(CMV)先天性感染在原发性感染女性所生儿童中更为严重,但在孕前具有免疫力的母亲所生婴儿中也观察到了神经症状。作者首次描述了一例与白质多处异常相关的严重皮质发育障碍病例,该病例发生在一名在怀孕前抗CMV免疫球蛋白G(IgG)检测呈阳性的女性的第二个孩子身上。在婴儿的尿液和血液中检测到了CMV DNA。这些发现表明,在已有免疫力的女性所生婴儿中,CMV感染的神经学后果也可能很严重。

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本文引用的文献

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Human cytomegalovirus inhibits neuronal differentiation and induces apoptosis in human neural precursor cells.人巨细胞病毒抑制人神经前体细胞的神经元分化并诱导其凋亡。
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Symptomatic congenital cytomegalovirus infection in one twin after recurrent maternal infection.母亲反复感染后,一对双胞胎中的一个出现有症状的先天性巨细胞病毒感染。
Pediatr Int. 2006 Feb;48(1):88-90. doi: 10.1111/j.1442-200X.2006.02158.x.
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Congenital cytomegalovirus infection following first trimester maternal infection: symptoms at birth and outcome.孕早期母体感染后的先天性巨细胞病毒感染:出生时的症状及结局
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Neural precursor cell susceptibility to human cytomegalovirus diverges along glial or neuronal differentiation pathways.神经前体细胞对人巨细胞病毒的易感性沿神经胶质或神经元分化途径而有所不同。
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Pattern of white matter abnormalities at MR imaging: use of polymerase chain reaction testing of Guthrie cards to link pattern with congenital cytomegalovirus infection.磁共振成像中白质异常的模式:利用格思里卡片的聚合酶链反应检测将模式与先天性巨细胞病毒感染相联系。
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Intrauterine transmission of cytomegalovirus to infants of women with preconceptional immunity.巨细胞病毒在孕前具有免疫力的女性所生婴儿中的宫内传播。
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J Clin Virol. 2001 Apr;21(1):75-9. doi: 10.1016/s1386-6532(00)00188-8.