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Fetal serum β2‐microglobulin as a marker for fetal infectious diseases

Identifieur interne : 000896 ( Istex/Corpus ); précédent : 000895; suivant : 000897

Fetal serum β2‐microglobulin as a marker for fetal infectious diseases

Auteurs : Sophie Dreux ; Thierry Rousseau ; Stefan Gerber ; Jean-Yves Col ; Marc Dommergues ; Françoise Muller

Source :

RBID : ISTEX:64AF04FB3FC3A8E43769BE70B33509B986B472EB

English descriptors

Abstract

To evaluate whether fetal serum β2‐microglobulin could be used as a marker of fetal cytomegalovirus (CMV) or toxoplasmosis infection.

Url:
DOI: 10.1002/pd.1441

Links to Exploration step

ISTEX:64AF04FB3FC3A8E43769BE70B33509B986B472EB

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<keyword xml:id="kwd1">fetal serum β2‐microglobulin</keyword>
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<keyword xml:id="kwd4">CMV infection</keyword>
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<p>To evaluate whether fetal serum β2‐microglobulin could be used as a marker of fetal cytomegalovirus (CMV) or toxoplasmosis infection.</p>
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<title type="main">Methods</title>
<p>β2‐microglobulin was retrospectively assayed in fetal serum collected from 64 patients with maternal infectious seroconversion (toxoplasmosis in 49 cases, CMV in 15). Using a β2‐microglobulin cutoff of 5 mg/L, infection and control groups were compared.</p>
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<title type="main">Results</title>
<p>Fetal serum β2‐microglobulin was >5 mg/L (5.2–13.5 mg/L) in 12 of the 13 cases with proved fetal toxoplasmosis infection, indicating 90% sensitivity. In the 39 pregnancies with maternal seroconversion but no laboratory signs of fetal infection, fetal serum β2‐microglobulin was <5 mg/L, indicating 100% specificity. Fetal serum was >5 mg/L (6.3–32 mg/L) in 14 of the 15 cases with proved fetal CMV infection, indicating 93.3% sensitivity. Specificity cannot be evaluated because maternal serum is not routinely screened for CMV during pregnancy.</p>
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<p>Fetal serum β2‐microglobulin is a reliable marker of fetal CMV or toxoplasmosis infection, which can be used in ambiguous situations. Because this increase is not specific, fetal serum β2‐microglobulin would potentially be raised in other fetal infections. Copyright © 2006 John Wiley & Sons, Ltd.</p>
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<abstract>To evaluate whether fetal serum β2‐microglobulin could be used as a marker of fetal cytomegalovirus (CMV) or toxoplasmosis infection.</abstract>
<abstract>β2‐microglobulin was retrospectively assayed in fetal serum collected from 64 patients with maternal infectious seroconversion (toxoplasmosis in 49 cases, CMV in 15). Using a β2‐microglobulin cutoff of 5 mg/L, infection and control groups were compared.</abstract>
<abstract>Fetal serum β2‐microglobulin was >5 mg/L (5.2–13.5 mg/L) in 12 of the 13 cases with proved fetal toxoplasmosis infection, indicating 90% sensitivity. In the 39 pregnancies with maternal seroconversion but no laboratory signs of fetal infection, fetal serum β2‐microglobulin was <5 mg/L, indicating 100% specificity. Fetal serum was >5 mg/L (6.3–32 mg/L) in 14 of the 15 cases with proved fetal CMV infection, indicating 93.3% sensitivity. Specificity cannot be evaluated because maternal serum is not routinely screened for CMV during pregnancy.</abstract>
<abstract>Fetal serum β2‐microglobulin is a reliable marker of fetal CMV or toxoplasmosis infection, which can be used in ambiguous situations. Because this increase is not specific, fetal serum β2‐microglobulin would potentially be raised in other fetal infections. Copyright © 2006 John Wiley & Sons, Ltd.</abstract>
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