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Cytomegalovirus (CMV) glycoprotein B genotype and CMV DNA load in the amniotic fluid of infected fetuses

Identifieur interne : 000221 ( France/Analysis ); précédent : 000220; suivant : 000222

Cytomegalovirus (CMV) glycoprotein B genotype and CMV DNA load in the amniotic fluid of infected fetuses

Auteurs : Olivier Picone [France] ; Jean-Marc Costa [France] ; Marianne Leruez-Ville [France] ; Pauline Ernault [France] ; Martine Olivi [France] ; Yves Ville [France]

Source :

RBID : ISTEX:3C99AA679388330DB909319ABA188345275E8C1A

English descriptors

Abstract

Objective: To assess the value of both cytomegalovirus (CMV) DNA quantification in amniotic fluid (AF) and CMV glycoprotein B (gB) genotype as prognostic factors in CMV congenital infection. Methods: Quantification of CMV DNA was performed prospectively by real‐time PCR and gB genotypes were analysed by gene sequencing analysis in the amniotic fluid of 42 fetuses infected by CMV. These were correlated with clinical data on fetal anomalies and outcome. Results: The proportion of severely symptomatic fetuses was similar in each gB genotype group. Median CMV DNA load was higher in the group of symptomatic fetuses but this difference was not significant and high and low viral loads were found in both groups. Conclusion: Neither gB genotype nor CMV DNA load in AF correlate with the severity of CMV congenital infection and these markers are unlikely to prove useful for the management of congenital infection. Copyright © 2004 John Wiley & Sons, Ltd.

Url:
DOI: 10.1002/pd.942


Affiliations:


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ISTEX:3C99AA679388330DB909319ABA188345275E8C1A

Le document en format XML

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<term>Amniotic</term>
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<term>Bowel</term>
<term>Clin microbiol</term>
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<div type="abstract" xml:lang="en">Objective: To assess the value of both cytomegalovirus (CMV) DNA quantification in amniotic fluid (AF) and CMV glycoprotein B (gB) genotype as prognostic factors in CMV congenital infection. Methods: Quantification of CMV DNA was performed prospectively by real‐time PCR and gB genotypes were analysed by gene sequencing analysis in the amniotic fluid of 42 fetuses infected by CMV. These were correlated with clinical data on fetal anomalies and outcome. Results: The proportion of severely symptomatic fetuses was similar in each gB genotype group. Median CMV DNA load was higher in the group of symptomatic fetuses but this difference was not significant and high and low viral loads were found in both groups. Conclusion: Neither gB genotype nor CMV DNA load in AF correlate with the severity of CMV congenital infection and these markers are unlikely to prove useful for the management of congenital infection. Copyright © 2004 John Wiley & Sons, Ltd.</div>
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