## Abstract In a study of the effects on renal allograft survival of HLA mismatching, mismatching for cytomegalovirus (CMV) antibody status, and postโtransplant CMV infection, 148 cyclosporinโtreated renal transplant recipients were given kidneys optimally matched for HLAโA, โB, and โDR antigens bu
Lymphocyte responses and virus excretion as risk factors for intrauterine infection with cytomegalovirus
โ Scribed by S. Fernando; J. M. Pearce; Dr. J. C. Booth
- Publisher
- John Wiley and Sons
- Year
- 1993
- Tongue
- English
- Weight
- 646 KB
- Volume
- 41
- Category
- Article
- ISSN
- 0146-6615
No coin nor oath required. For personal study only.
โฆ Synopsis
Abstract
Serological screening of pregnant women in this and a previous study identified 28 cases of primary infection with cytomegalovirus, 7 (25%) of whom transmitted the infection to their fetuses. Risk factors for intrauterine infection were 1) age less than 20 years, 2) Caucasian rather than nonCaucasian race, 3) a weak response to cytomegalovirus antigen in the lymphocyte transformation test, and 4) the excretion of cytomegalovirus in the urine. The greatest risk was when a weak lymphoproliferative response was detected in combination with a positive result for virus isolation, in which case the chance of fetal infection was 83%. Despite these associations, there was one important anomalous result of a woman who demonstrated a strong lymphocyte response during pregnancy and a negative result for virus isolation, but who gave birth to an infected baby who developed unilateral hearing loss.
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