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Table 1 Clinical findings in 61 infants with congenital and perinatal infection and specific IgM antibodies to Cytomegalovirus detected by enzymoimmunoassay

From: Human Cytomegalovirus: detection of congenital and perinatal infection in Argentina

Congenital

Patient No

Age (day/month)

IgM

Clinical and Laboratory data

1

5 d

+

IUGR, cerebral calcifications.

2

21 d

-

Ascites, renal problems, elevated liver enzymes.

3

6 d

+

SGA, purpura, hepatosplenomegaly

4, 8, 29

5 d, 5 d, 28 d

-, +, +

SGA

5

18 d

+

Petechiae, hepatosplenomegaly, jaundice

6, 14., 32

5 d, 8 d, 8 d

+, +, +

Hepatosplenomegaly, cerebral calcifications

7

14 d

+

Sepsis, thrombocytopenia.

9

20 m

-

AWGA, purpura, elevated liver enzymes.

10

5 d

+

SGA, cerebral microcalcifications, microcephaly

11

5 d

-

SGA, purpura, hepatosplenomegaly, thrombocytopenia

12

4 d

-

AWGA, purpura, elevated liver enzymes, trombocytopenia.

13

11 d

+

Sepsis, petechiae, thrombocytopenia

15, 21, 33

5 d, 5 d, 5 d

-, +, -

SGA, purpura, HIV+.

16

6 d

-

Cerebral calcifications, thrombocytopenia, HIV+ mother.

17

5 d

+

Foetal dystrophy, inclusion-bearing cells in urine.

18

14 d

S/s

IUGR, sepsis, foetal dystrophy

19

8 d

+

Hepatosplenomegaly, sepsis, died of hepatic failure

20

18 d

+

SGA, hydrocephalus, respiratory problems

22

3 m

S/s

Cerebral calcifications, congenital toxoplasmosis

23

24 d

-

Cholestasis, purpura, cerebral calcifications, elevated liver enzymes, sepsis.

24

5 d

-

Microcephaly, cerebral calcifications (irregular and punctate), thrombocytopenia

25

5 d

+

AWGA, hepatosplenomegaly, sepsis, jaundice.

26

3 m

-

Chorioretinitis

27

5 d

-

SGA, hepatosplenomegaly, petechiae, anaemia, cholestasis

28

5 d

+

SGA, purpura, cerebral calcifications, thrombocytopenia, splenomegaly, elevated liver enzymes

30

5 d

+

Hepatosplenomegaly, purpura

31

5 m

-

RNPT, AWGA, seizures, maturational delay, palsy at age one year

Perinatal

39

40 d

-

SGA, petechiae, hepatomegaly, respiratory problems.

41

5 m

+

HIV+, cerebral calcifications, hepatosplenomegaly, anaemia

47

34 d

+

Neonatal jaundice

50

8 m

-

SGA, Hepatosplenomegaly, elevated liver enzymes, anaemia, jaundice at age 2 months

Congenital or Perinatal

34, 37, 48

3 m, 8 m, 7 m

-, -, S/s

Hepatosplenomegaly, HIV+

35

4 m

+

Jaundice, biliary atresia

36

63 d

+

Anaemia, hepatosplenomegaly, malnutrition, hyperbilirubinemia

38, 43

4 m, 3 m

-, -

Petechiae, hyperbilirubinemia, splenomegaly

40

40 d

-

Ascitis, renal problems, elevated liver enzymes

42

42 d

S/s

SGA

44

3 m

+

Premature, scanty maternal contact

45

24 m

-

Malnutrition, pancytopenia.

46

12 m

+

Aplastic crisis

49

4 m

+

SGA, hepatosplenomegaly, jaundice, anaemia, petechiae.

51

2 m

+

Sepsis, cyanosis, vomiting

52

1 m

S/s

Petechiae, jaundice, anaemia, hepatosplenomegaly

53

5 m

+

Mental retardation, anaemia

54

2 m

-

RNPT, SGA, IUGR, anaemia, microcephaly, tricuspid valve insufficiency

55

3 m

-

SGA, rash, fever spikes

56, 58

5 m, 33 d

-, -

SGA, respiratory problems.

57

34 d

+

IUGR, sepsis, hepatomegaly, oesophageal atresia, elevated liver enzymes

59

26 d

-

SGA, HIV+ mother

60

38 d

+

IUGR, microcephaly, jaundice

61

6 m

-

Normal at birth, neutropenia

  1. IUGR, intrauterine growth retardation; SGA, small for gestational age; AWGA, adequate weight for gestational age. S/s, sera not collected