Abstract
A prospective study identified 785 pregnant women who had been shown to possess complement fixing antibodies against cytomegalovirus (CMV) during a previous pregnancy. As these women were thus known to have been immune prior to their subsequent conception, their neonates were examined for evidence of congenital CMV infection. Specimens were obtained from 725 (92%) of the neonates and congenital infection was found in only one (0.14%). The elder sister of the infected child was also shown, by retrospective testing of her stored cord serum for specific IgM antibodies, to have been infected in utero. Thus, one woman was identified who had delivered consecutive siblings congenitally infected with CMV. We conclude that some women have a propensity for intra-uterine transmission of CMV, despite being immune prior to conception, and speculate that such women may have acquired their infections perinatally.
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- Embil J. A., Ozere R. L., Haldane E. V. Congenital cytomegalovirus infection in two siblings from consecutive pregnancies. J Pediatr. 1970 Sep;77(3):417–421. doi: 10.1016/s0022-3476(70)80009-9. [DOI] [PubMed] [Google Scholar]
- Grant S., Edmond E., Syme J. A prospective study of cytomegalovirus infection in pregnancy. I. Laboratory evidence of congenital infection following maternal primary and reactivated infection. J Infect. 1981 Mar;3(1):24–31. doi: 10.1016/s0163-4453(81)92211-8. [DOI] [PubMed] [Google Scholar]
- Griffiths P. D., Buie K. J., Heath R. B. A comparison of complement fixation, indirect immunofluorescence for viral late antigens, and anti-complement immunofluorescence tests for the detection of cytomegalovirus specific serum antibodies. J Clin Pathol. 1978 Sep;31(9):827–831. doi: 10.1136/jcp.31.9.827. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Griffiths P. D., Stagno S., Pass R. F., Smith R. J., Alford C. A., Jr Congenital cytomegalovirus infection: diagnostic and prognostic significance of the detection of specific immunoglobulin M antibodies in cord serum. Pediatrics. 1982 May;69(5):544–549. [PubMed] [Google Scholar]
- Griffiths P. D. The presumptive diagnosis of primary cytomegalovirus infection in early pregnancy by means of a radioimmunoassay for specific-IgM antibodies. Br J Obstet Gynaecol. 1981 Jun;88(6):582–587. doi: 10.1111/j.1471-0528.1981.tb01212.x. [DOI] [PubMed] [Google Scholar]
- Hanshaw J. B., Scheiner A. P., Moxley A. W., Gaev L., Abel V., Scheiner B. School failure and deafness after "silent" congenital cytomegalovirus infection. N Engl J Med. 1976 Aug 26;295(9):468–470. doi: 10.1056/NEJM197608262950902. [DOI] [PubMed] [Google Scholar]
- Huang E. S., Alford C. A., Reynolds D. W., Stagno S., Pass R. F. Molecular epidemiology of cytomegalovirus infections in women and their infants. N Engl J Med. 1980 Oct 23;303(17):958–962. doi: 10.1056/NEJM198010233031702. [DOI] [PubMed] [Google Scholar]
- Kangro H. O. Evaluation of a radioimmunoassay for IgM-class antibodies against cytomegalovirus. Br J Exp Pathol. 1980 Oct;61(5):512–520. [PMC free article] [PubMed] [Google Scholar]
- Krech U., Konjajev Z., Jung M. Congenital cytomegalovirus infection in siblings from consecutive pregnancies. Helv Paediatr Acta. 1971 Oct;26(4):355–362. [PubMed] [Google Scholar]
- Peckham C. S., Chin K. S., Coleman J. C., Henderson K., Hurley R., Preece P. M. Cytomegalovirus infection in pregnancy: preliminary findings from a prospective study. Lancet. 1983 Jun 18;1(8338):1352–1355. doi: 10.1016/s0140-6736(83)92138-4. [DOI] [PubMed] [Google Scholar]
- Pereira R. S., James D. C., Stern H. Correlation between cytomegalovirus infection and HLA-BW15. Br Med J. 1978 Jul 8;2(6130):126–126. doi: 10.1136/bmj.2.6130.126-b. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Reynolds D. W., Stagno S., Hosty T. S., Tiller M., Alford C. A., Jr Maternal cytomegalovirus excretion and perinatal infection. N Engl J Med. 1973 Jul 5;289(1):1–5. doi: 10.1056/NEJM197307052890101. [DOI] [PubMed] [Google Scholar]
- Saigal S., Lunyk O., Larke R. P., Chernesky M. A. The outcome in children with congenital cytomegalovirus infection. A longitudinal follow-up study. Am J Dis Child. 1982 Oct;136(10):896–901. doi: 10.1001/archpedi.1982.03970460026006. [DOI] [PubMed] [Google Scholar]
- Stagno S., Pass R. F., Dworsky M. E., Henderson R. E., Moore E. G., Walton P. D., Alford C. A. Congenital cytomegalovirus infection: The relative importance of primary and recurrent maternal infection. N Engl J Med. 1982 Apr 22;306(16):945–949. doi: 10.1056/NEJM198204223061601. [DOI] [PubMed] [Google Scholar]
- Stagno S., Reynolds D. W., Huang E. S., Thames S. D., Smith R. J., Alford C. A. Congenital cytomegalovirus infection. N Engl J Med. 1977 Jun 2;296(22):1254–1258. doi: 10.1056/NEJM197706022962203. [DOI] [PubMed] [Google Scholar]
- Stagno S., Reynolds D. W., Lakeman A., Charamella L. J., Alford C. A. Congenital cytomegalovirus infection: consecutive occurrence due to viruses with similar antigenic compositions. Pediatrics. 1973 Dec;52(6):788–794. [PubMed] [Google Scholar]
- Stern H. Cytomegalovirus infection in the neonate and its prevention. Postgrad Med J. 1977 Oct;53(624):588–591. doi: 10.1136/pgmj.53.624.588. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stern H., Tucker S. M. Prospective study of cytomegalovirus infection in pregnancy. Br Med J. 1973 May 5;2(5861):268–270. doi: 10.1136/bmj.2.5861.268. [DOI] [PMC free article] [PubMed] [Google Scholar]