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Cytomegalovirus (CMV) Inclusion Disease

Munima Nasir, MD and Kyle Burke, DO Reviewed 05/2023
 


BASICS

  • Ubiquitous and common infection impacting all ages, ethnic, socioeconomic groups, and geographic areas

    • Although most cytomegalovirus (CMV) infections are asymptomatic or cause mild dis...

DIAGNOSIS

HISTORY

  • Congenital

    • Most infected newborns appear normal and are asymptomatic, although as many as 7–15% develop sensorineural hearing loss, which can be progressive and have a delayed onset (...

TREATMENT

MEDICATION

First Line

  • Symptomatic congenital disease: ganciclovir 6 mg/kg IV q12h for 6 weeks (switch to PO valganciclovir when can tolerate) (2)[B],(3)[B], alternatively valganciclovir 16 mg...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • CMV antibody testing at age 1, then annually for CMV-seronegative, HIV infected infants/children who are immunosuppressed (3)

  • Patients on therap...

REFERENCES

1
Gugliesi F, Coscia A, Griffante G, et al. Where do we stand after decades of studying human cytomegalovirus? Microorganisms. 2020;8(5):68.
2
Chiopris G, Veronese P, Cusenza F, et al. Congeni...

CODES

ICD10

  • B25.9 Cytomegaloviral disease, unspecified

  • P35.1 Congenital cytomegalovirus infection

  • B25.8 Other cytomegaloviral diseases

SNOMED

  • 28944009 Cytomegalovirus infection (disorder)

  • 59527008 Congenita...

CLINICAL PEARLS

  • CMV is a major cause of sensorineural hearing loss in young children.

  • CMV exposure is ubiquitous; up to 97% of adults have antibodies to CMV.

  • CMV mononucleosis syndrome has less cervical...

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