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Epidemiology and Infection logoLink to Epidemiology and Infection
. 1988 Dec;101(3):495–501. doi: 10.1017/s0950268800029381

Specific and non-specific serological markers in the screening for congenital CMV infection.

A el-Mekki 1, L V Deverajan 1, S Soufi 1, O Strannegard 1, W al-Nakib 1
PMCID: PMC2249413  PMID: 2850935

Abstract

IgM antibodies specific for cytomegalovirus (CMV) were demonstrated in 15 (2.6%) of 575 umbilical cord sera obtained from newborns in Kuwait. Some 93% and 50% of these CMV-IgM positive cord sera displayed markedly raised (more than normal mean +2 S.D.) content of total IgM and IgA respectively. In contrast, only 0.2 and 1.8% of the CMV-IgM negative cord sera had elevated total IgM and IgA, respectively. Rheumatoid factor (RF) was demonstrable, at concentrations of 30 IU/ml or more, in 67% of the CMV-IgM positive as compared with 3.2% of the CMV-IgM negative sera whereas interferon alpha was found in the serum of only one of these infants. These results indicate that raised total immunoglobulin, in particular IgM, concentrations and the detection of RF in cord blood are useful non-specific markers for the identification of congenital CMV infection.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Al-Nakib W., Deverajan L. V., Thorburn H., Ibrahim M. E., Moussa M. A., Hathout H., Yousof A. M., Soufi S. Prospective serological and clinical studies on infants born in Kuwait with an elevated IgM in cord blood. Bull World Health Organ. 1985;63(4):745–750. [PMC free article] [PubMed] [Google Scholar]
  2. Alpert G., Mazeron M. C., Colimon R., Plotkin S. Rapid detection of human cytomegalovirus in the urine of humans. J Infect Dis. 1985 Sep;152(3):631–633. doi: 10.1093/infdis/152.3.631. [DOI] [PubMed] [Google Scholar]
  3. Erice A., Jordan M. C., Chace B. A., Fletcher C., Chinnock B. J., Balfour H. H., Jr Ganciclovir treatment of cytomegalovirus disease in transplant recipients and other immunocompromised hosts. JAMA. 1987 Jun 12;257(22):3082–3087. [PubMed] [Google Scholar]
  4. Griffiths P. D. Diagnostic techniques for cytomegalovirus infection. Clin Haematol. 1984 Oct;13(3):631–644. [PubMed] [Google Scholar]
  5. Griffiths P. D., Panjwani D. D., Stirk P. R., Ball M. G., Ganczakowski M., Blacklock H. A., Prentice H. G. Rapid diagnosis of cytomegalovirus infection in immunocompromised patients by detection of early antigen fluorescent foci. Lancet. 1984 Dec 1;2(8414):1242–1245. doi: 10.1016/s0140-6736(84)92797-1. [DOI] [PubMed] [Google Scholar]
  6. 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]
  7. Krishna R. V., Meurman O. H., Ziegler T., Krech U. H. Solid-phase enzyme immunoassay for determination of antibodies to cytomegalovirus. J Clin Microbiol. 1980 Jul;12(1):46–51. doi: 10.1128/jcm.12.1.46-51.1980. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Lebon P., Daffos F., Checoury A., Grangeot-Keros L., Forestier F., Toublanc J. E. Presence of an acid-labile alpha-interferon in sera from fetuses and children with congenital rubella. J Clin Microbiol. 1985 May;21(5):775–778. doi: 10.1128/jcm.21.5.775-778.1985. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Paya C. V., Wold A. D., Smith T. F. Detection of cytomegalovirus infections in specimens other than urine by the shell vial assay and conventional tube cell cultures. J Clin Microbiol. 1987 May;25(5):755–757. doi: 10.1128/jcm.25.5.755-757.1987. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Schmitz H., von Deimling U., Flehmig B. Detection of IgM antibodies to cytomegalovirus (CMV) using an enzyme-labelled antigen (ELA). J Gen Virol. 1980 Sep;50(1):59–68. doi: 10.1099/0022-1317-50-1-59. [DOI] [PubMed] [Google Scholar]
  11. Stagno S., Pass R. F., Dworsky M. E., Alford C. A. Congenital and perinatal cytomegalovirus infections. Semin Perinatol. 1983 Jan;7(1):31–42. [PubMed] [Google Scholar]
  12. 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]
  13. Stagno S., Tinker M. K., Elrod C., Fuccillo D. A., Cloud G., O'Beirne A. J. Immunoglobulin M antibodies detected by enzyme-linked immunosorbent assay and radioimmunoassay in the diagnosis of cytomegalovirus infections in pregnant women and newborn infants. J Clin Microbiol. 1985 Jun;21(6):930–935. doi: 10.1128/jcm.21.6.930-935.1985. [DOI] [PMC free article] [PubMed] [Google Scholar]

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